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NPI Code Detail

MEDICARE: CURTIS J HAGENAU M.D.

MEDICARE: CURTIS J HAGENAU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD15260TN

General Provider Information

NPI Number : 1669463568
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS J HAGENAU M.D.
Provider Business Mailing Address
First Line : 222 22ND AVE N
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1852
Country : US
Telephone Number : 629-255-3486
Fax Number :
Provider Business Practice Location Address
First Line : 222 22ND AVE N
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1852
Country : US
Telephone Number : 629-255-3469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 01/09/2024

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