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Individual

DR. KRISTA ROSE HAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3955 PARKLAWN AVE, SUITE 120, EDINA, MN 55435-5655
(952) 831-4454
Mailing address
3955 PARKLAWN AVE, SUITE 120, EDINA, MN 55435-5655

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50511
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/11/2008
Last updated
06/13/2010
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