Individual
DAVID J HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2101 KIMBALL AVENUE, SUITE 401, WATERLOO, IA 50702
(319) 272-2002
(319) 272-2071
Mailing address
P.O. BOX 2880, WATERLOO, IA 50704-2880
(319) 272-2002
(319) 272-2071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03115
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0725283
—
IA
Enumeration date
01/26/2006
Last updated
06/02/2016
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