NPI 1104681758

Robert Frederick Hagerstrom

Practitioner Respite Care Shakopee, MN

Practice location

Address: 1005 Shawmut St S, Shakopee, MN 55379-2826
Phone: (952) 210-6451

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1104681758
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2024
Record last updated: 13 Feb 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.