William N Hagen, DO | |
1000 S Columbia Rd, Grand Forks, ND 58201-4032 | |
(701) 780-6000 | |
Not Available |
Full Name | William N Hagen |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1000 S Columbia Rd, Grand Forks, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639260649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 6440 (North Dakota) | Primary |
Entity Name | Altru Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
Mailing Address | Practice Location Address |
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William N Hagen, DO Po Box 6002, Grand Forks, ND 58206-6002 Ph: (701) 780-5000 | William N Hagen, DO 1000 S Columbia Rd, Grand Forks, ND 58201-4032 Ph: (701) 780-6000 |
Bernie J Dallum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-5246 | |
Gerald S Smyser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Dr. Andrew Lukaszewicz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Randall J Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Marshall Winchester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Larissa L Hood, MD Radiology Medicare: Medicare Enrolled Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Leslie A Soine, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 |