Individual provider · Type 1 NPI

Marylou Hagen, PA

Surgical Physician Assistant · Madison, WI

NPI number 1528029436 Active

Practice location

600 Highland Ave
Madison, WI 53792

Call (608) 265-9939 Map

Fax (608) 265-9695

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1670 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1528029436

Marylou Hagen, PA's National Provider Identifier is 1528029436, issued on Mar 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Feb 12, 2021.