Individual
JOEL S HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3101
(206) 546-5181
(206) 546-6575
Mailing address
355 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3101
(206) 546-5181
(206) 546-6575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00026091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053123
—
WA
01
—
P00312217
RAILROAD MEDICARE
WA
Enumeration date
12/06/2005
Last updated
04/05/2010
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