Individual
DR. WYATT HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 SIOUX POINT ROAD, SUITE 300, DAKOTA DUNES, SD 57049-5077
(605) 232-1711
(605) 232-2040
Mailing address
711 SIOUX POINT ROAD, SUITE 300, DAKOTA DUNES, SD 57049-5077
(605) 232-1711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
944
SD
Other
Enumeration date
02/28/2006
Last updated
11/10/2010
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