Most Relevant Information
Provider Data
NPI Number: | 1003207416 |
Provider Name: | LEE M HAGGENJOS MD |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | 64235 |
Most Important Dates
Enumeration Date: | 02/07/2015 |
Last Updated: | 05/25/2023 |
Provider Practice Location
502 2ND ST SW STE 1
WILLMAR
MN
562013365
Practice Location Phone/Fax
Phone: | 3202357232 |
Fax: |
Provider Mailing Location
502 2ND ST SW STE 1
WILLMAR
MN
562013365
Provider Mailing Phone/Fax
Phone: | 3202357232 |
Fax: |
Suggested EMR
Family Practice EMR