Lee M Haggenjos
Family Doctor
502 2nd St Sw Ste 1
Willmar
, Minnesota 56201-3365
Lee M Haggenjos
Family Doctor
502 2nd St Sw Ste 1
Willmar
, Minnesota 56201-3365
(320) 235-7232
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Lee M Haggenjos
- 502 2nd St Sw Ste 1
- Willmar, MN
- Zip : 56201-3365
- Phone : (320) 235-7232
Second Address
- Lee M Haggenjos
- 502 2nd St Sw Ste 1
- Willmar, MN
- Zip : 56201-3365
- Phone : (320) 235-7232
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 64235 | MN |
National Provider Identifier
| NPI | 1003207416 |
|---|---|
| Provider Name | Lee M Haggenjos |
| First Address | Willmar, MN 56201-3365 |
| Second Address | Willmar, MN 56201-3365 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2015 |
| Last Update Date | 20/07/2020 |
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.