Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 44333 | MN |
N | 2086S0122X | Plastic and Reconstructive Surgery | K2093 | TX |
NPI | 1174637060 |
---|---|
Provider Name | Dr. Agnieszka S Hatfield |
First Address | Coon Rapids, MN 55433-2583 |
Second Address | Coon Rapids, MN 55433-2583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1300140 | MEDICA (01) | MN |
131146 | UCARE (01) | MN |
131MOHA | BLUE CROSS BLUE SHIELD (01) | MN |
180700500 | (05) | MN |
180700500 | MA (01) | MN |
7581471 | AETNA (01) | |
92321 | HEALTH PARTNERS (01) | MN |
C03935 | MEDICARE CORPORATION (01) | MA |
G56467 | (02) | MN |