Dr. Joshua Wayne Hagen
Dermatologist MOHS-Micrographic Surgeon
1000 Stonewood Dr Ste 200
Wexford
, Pennsylvania 15090-8386
Dr. Joshua Wayne Hagen
Dermatologist MOHS-Micrographic Surgeon
1000 Stonewood Dr Ste 200
Wexford
, Pennsylvania 15090-8386
(920) 684-1439
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Joshua Wayne Hagen
- 801 York St
- Manitowoc, WI
- Zip : 54220-4630
- Fax : (920) 684-1439
- Phone : (920) 663-7190
Second Address
- Dr. Joshua Wayne Hagen
- 1000 Stonewood Dr Ste 200
- Wexford, PA
- Zip : 15090-8386
- Fax : (724) 778-3024
- Phone : (724) 778-3020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD461197 | PA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | MD461197 | PA |
National Provider Identifier
| NPI | 1205185006 |
|---|---|
| Provider Name | Dr. Joshua Wayne Hagen |
| First Address | Manitowoc, WI 54220-4630 |
| Second Address | Wexford, PA 15090-8386 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2012 |
| Last Update Date | 02/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.