| NPI | 1689699480 |
|---|---|
| Other Name | HAGEN O & P |
| Entity Type | Organization |
| Authorized Contact | WARREN HAGEN Owner/Orthotist 320-222-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CO003977) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-06-21 |