Joel S Hagedorn, M.D.
Internal Medicine in Shoreline, WA. Individual provider (NPI-1).
NPI number1922083559
StatusActive
Last updated in NPPESApr 5, 2010
Details
- NPI
- 1922083559
- Entity type
- Individual (NPI-1)
- Name
- Joel S Hagedorn
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2005
- Last updated
- Apr 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD00026091 | WA | Yes |
Practice location
355 Nw Richmond Beach RdShoreline, WA 98177-3101
Phone 206-546-5181 · Fax 206-546-6575
Mailing address
355 Nw Richmond Beach RdShoreline, WA 98177-3101
Phone 206-546-5181 · Fax 206-546-6575
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