Individual
JEFFREY HAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
43271 FORD RD, CANTON, MI 48187-3340
(734) 981-8111
(734) 981-2327
Mailing address
22217 HAZELTON CT, NOVI, MI 48374-3880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002695
MI
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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