Individual
DR. MARK J HAGANMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 N 8TH ST, OSAGE, IA 50461-1456
(641) 732-6100
(641) 732-6108
Mailing address
620 N 8TH ST, OSAGE, IA 50461-1456
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02681
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11686
WELLMARK
IA
05
—
3063842
—
IA
Enumeration date
09/29/2006
Last updated
08/10/2020
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