Jon Richard Van Der Hagen, MD

NPI #1326016171 in Brainerd, Minnesota

Provider Information

NPI Number: 1326016171
Entity Type: Individual
Name: Jon Richard Van Der Hagen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 9, 2006
Last Updated: Jan 15, 2016

Practice Location

Address: 523 N 3RD ST
City: Brainerd
State: Minnesota
ZIP Code: 56401-3054
Phone: (218) 829-2861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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