Hagen, Michelle Renee

Hagen, Michelle Renee is an individual health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hagen, Michelle Renee can be contacted via phone (605) 347-2511.

Contact Information

Primary practice address
113 Comanche Rd Fort Meade SD 57741-1002
Phone: (605) 347-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0654 South Dakota

Profile Details

NPI number 1366632002
LBN Legal business name Hagen, Michelle Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Mar 18th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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