IndividualActive
Mitchell Hagen, MD
NPI 1053808931 · Otolaryngology/Facial Plastic Surgery Physician · Wayzata, MN
Provider details
- NPI number
- 1053808931
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 73195 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513
Phone: (763) 220-8030
Approximate (ZIP-level) locationGet directions
Mailing address
935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513
Registry dates
- Enumerated
- 2018-04-17
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.