Individual
STEVEN GENE HAGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432
(763) 236-4144
(763) 236-4900
Mailing address
7301 OHMS LANE, SUITE 650, EDINA, MN 55439
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46553
MN MEDICAL LICENSE
—
Enumeration date
03/07/2006
Last updated
07/08/2007
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