Individual
ERIKA HAGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2835 FORT MISSOULA RD BLDG 3, MISSOULA, MT 59804-7423
(406) 721-5600
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
113618
MT
207N00000X
Dermatology Physician
287108
MA
207N00000X
Dermatology Physician
MD60769542
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD60769542
WA
Other
Enumeration date
03/30/2015
Last updated
07/26/2024
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