Individual
BRUCE JON HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5109 S CROSSING PL, SUITE 1, SIOUX FALLS, SD 57108-5076
(605) 361-1700
(605) 361-0113
Mailing address
5109 S CROSSING PL, SUITE 1, SIOUX FALLS, SD 57108-5076
(605) 361-1700
(605) 361-0113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
714
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7602962
—
SD
Enumeration date
10/02/2006
Last updated
04/11/2024
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