Erika Hagstrom, MD
Dermatology in Missoula, MT. Individual provider (NPI-1).
NPI number1841685658
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1841685658
- Entity type
- Individual (NPI-1)
- Name
- Erika Hagstrom
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2015
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 113618 | MT | Yes |
| 207N00000X | Dermatology | 287108 | MA | |
| 207N00000X | Dermatology | MD60769542 | WA | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | MD60769542 | WA |
Practice location
2835 Fort Missoula Rd Bldg 3Missoula, MT 59804-7423
Phone 406-721-5600
Mailing address
Po Box 7609Missoula, MT 59807-7609
Phone 406-721-5600
Other practice locations
510 S Cowley St
Spokane, WA 99202-1332
Spokane, WA 99202-1332
Phone 509-252-1299
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All 16 Dermatology Physician providers in Missoula · All 4,716 providers in Missoula
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