| Doctor Name: | INGRID M. HAGEN |
| NPI Number: | 1285915264 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 13577 |
| Business Practice Address: | 1352 Community Dr. Estes Park, CO - 805177434 |
| Business Phone Number: | 9705864386 |
| Business Fax Number: | |
| Mailing Address: | 1352 Community Dr., ESTES PARK |
| State: | CO |
| Postal Code: | 805177434 |
| Phone Number: | 9705864386 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2011 |
| NPI Last Update Date: | 09/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13577 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |