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Individual
MICHAEL C. BAGLEY
Active
Individual
MICHAEL C. BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
#45154
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840864756
TAX IDENTIFICATION
CO
Enumeration date
07/24/2006
Last updated
12/02/2014
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