Hagnell, Susan M

Hagnell, Susan M is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147-9695. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hagnell, Susan M can be contacted via phone (262) 249-5005.

Contact Information

Primary practice address
146 E Geneva Sq Lake Geneva WI 53147-9695
Phone: (262) 249-5005
Fax: (262) 249-7142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-090050 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 46010 Wisconsin

Profile Details

NPI number 1871672923
LBN Legal business name Hagnell, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Oct 6th, 2023 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871672923 NPPES
Wisconsin MEDICAID 34436900
Wisconsin MEDICAID 036090050 2

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