Individual
DR. HEIDI M HAGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18350
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003335020
REGENCE BLUE CROSS
OR
05
—
278722
—
OR
01
—
P00372707
RAILROAD MEDICARE/PALMETT
OR
Enumeration date
12/23/2005
Last updated
12/19/2024
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