Individual
MICHELLE T HAGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 S DOWNING ST, EMERGENCY DEPT, DENVER, CO 80210-5817
(720) 283-6700
Mailing address
10390 ROWLOCK WAY, PARKER, CO 80134-9578
(720) 838-8832
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.119966
IL
207P00000X
Emergency Medicine Physician
2011040062
MO
207P00000X
Emergency Medicine Physician
Primary
50851
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209880608
—
MO
Enumeration date
09/20/2006
Last updated
05/11/2015
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