NPI 1053808931

Mitchell Hagen, MD

Practitioner Otolaryngology/Facial Plastic Surgery Physician Wayzata, MN

Practice location

Address: 935 Wayzata Blvd E STE 200, Wayzata, MN 55391-2513
Phone: (763) 220-8030

Registered specialties (2)

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 73195 (MN)

Other Otolaryngology providers in Minnesota →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 321271 (NY)

Registry record

NPI: 1053808931
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2018
Record last updated: 9 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.