Marjorie L Van Der Hagen, PA-C

NPI #1063423366 in Edina, Minnesota

Provider Information

NPI Number: 1063423366
Entity Type: Individual
Name: Marjorie L Van Der Hagen, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 11, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 7373 FRANCE AVE S
Address 2: SUITE 312
City: Edina
State: Minnesota
ZIP Code: 55435-4534
Phone: (952) 832-0076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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