Individual
HEATHER HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Mailing address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60220
MN
Other
Enumeration date
06/25/2013
Last updated
07/21/2022
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