Blake Hageman

NPI #1215392865 in Manhattan, Kansas

Provider Information

NPI Number: 1215392865
Entity Type: Individual
Name: Blake Hageman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist
Enumeration Date: Dec 28, 2015
Last Updated: Dec 28, 2015

Practice Location

Address: 1105 SUNSET AVE
City: Manhattan
State: Kansas
ZIP Code: 66502-3761
Phone: (785) 532-7755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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