| NPI | 1366592511 |
|---|---|
| Doing Business As | DR. BRAD HAGEMO |
| Entity Type | Organization |
| Authorized Contact | BRADLEY DUANE HAGEMO President 952-457-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 1981) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-03-07 |