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Individual

KATIE HAGERSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APNP, AGPC-BC

Contact information

Practice address
1746 PAUL DR, KAUKAUNA, WI 54130-3014
(920) 422-7402
(920) 543-5288
Mailing address
253 PATRICIA LN, WRIGHTSTOWN, WI 54180-1201
(920) 512-6489

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199212-30
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
16206-33
WI

Other

Enumeration date
02/11/2015
Last updated
01/13/2026
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