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Organization
VIRGINIA PARK MEDICAL SERVICES PLLC
Active
Organization
VIRGINIA PARK MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH N. HAGEN D.O. (OWNER)
(313) 894-8504
Entity
Organization
Contact information
Practice address
8500 14TH ST, DETROIT, MI 48206-2425
(313) 894-8504
Mailing address
PO BOX 760128, LATHRUP VILLAGE, MI 48076-0128
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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