Individual
DR. STEVEN R HAGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1605 MINNEHAHA AVE W, 101, SAINT PAUL, MN 55104-1255
(651) 646-2392
Mailing address
1605 MINNEHAHA AVE W, 101, SAINT PAUL, MN 55104-1255
(651) 646-2392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9477
MN
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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