Individual
DR. EDWARD PAUL HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02734
IA
207V00000X
Obstetrics & Gynecology Physician
3890
SD
207V00000X
Obstetrics & Gynecology Physician
Primary
54529
WI
Other
Enumeration date
07/07/2005
Last updated
06/08/2010
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