Individual
PAUL G HAGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 5TH AVE N, HURLEY, WI 54534-1209
(715) 561-3291
(715) 561-4377
Mailing address
6747 W KIMBALL DR, HURLEY, WI 54534-9054
(715) 561-2817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001670
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33413300
—
WI
Enumeration date
07/25/2006
Last updated
07/08/2007
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