Individual
DEAN R HAGNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 STANLEY STREET, STEVENS POINT, WI 54481-3112
(715) 341-7332
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23777
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30513800
—
WI
Enumeration date
07/01/2006
Last updated
05/27/2008
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