Individual
TAMARA S HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
811 POTAWATOMI DR, MADISON, WI 53718
(608) 216-0301
Mailing address
811 POTAWATOMI DR, MADISON, WI 53718-3245
(608) 216-0301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26094
WI
207UN0901X
Nuclear Cardiology Physician
26094
WI
Other
Enumeration date
03/02/2006
Last updated
02/19/2019
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