Dwayne Patrick Hagenow
NPI #1184134025 in Cos Cob, Connecticut
Provider Information
- NPI Number
- 1184134025
- Entity Type
- Individual
- Name
- Dwayne Patrick Hagenow
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Oct 5, 2017
- Last Updated
- Oct 5, 2017
Practice Location
- Address
- 35 RIVER RD STE 2
- City
- Cos Cob
- State
- Connecticut
- ZIP Code
- 06807-2759
- Phone
- (203) 422-0679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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