Individual
RYAN T HAGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8318
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8318
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
44704
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891802955
—
MN
Enumeration date
08/24/2006
Last updated
05/09/2011
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