John J Hagan, MD
Internal Medicine in Bismarck, ND. Individual provider (NPI-1).
NPI number1598819856
StatusActive
Last updated in NPPESJan 28, 2008
Details
- NPI
- 1598819856
- Entity type
- Individual (NPI-1)
- Name
- John J Hagan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- Jan 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 8370 | ND | Yes |
Practice location
900 E Broadway AvenueBismarck, ND 58501
Phone 701-530-7000 · Fax 701-530-8842
Mailing address
900 E Broadway AvenueP.O. Box 997
Bismarck, ND 58502-0997
Phone 701-530-7000 · Fax 701-530-8842
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