Scott T Hagen, OD Valid NPI
Individual provider · Optometrist · Redwood Falls, MN
- NPI
- 1730155045
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2036 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-02-27
- Last updated
- 2007-07-08
Practice location
1100 E Broadway
Redwood Falls, MN 56283
(507) 637-2985