Provider Demographics
NPI:1821240557
Name:HAGLUND, DAVID LYLE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LYLE
Last Name:HAGLUND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1099 HELMO AVE N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-6033
Mailing Address - Country:US
Mailing Address - Phone:651-326-5300
Mailing Address - Fax:651-326-5350
Practice Address - Street 1:1099 HELMO AVE N
Practice Address - Street 2:SUITE 100
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-6033
Practice Address - Country:US
Practice Address - Phone:651-326-5300
Practice Address - Fax:651-326-5350
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2010-08-25
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Provider Licenses
StateLicense IDTaxonomies
MN32143207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine