Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Hagen, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1053808931

Mitchell Hagen, MD is an Otolaryngology/Facial Plastic Surgery Physician in Wayzata, Minnesota. Licensed in Minnesota and New York. Registered with an NPI since 2018.

Licensed in
MN, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513
Phone: (763) 220-8030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 73195 (MN)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 321271 (NY)

Record details

NPI number1053808931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513

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