Organization
MICHAEL P HAGGERTY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PATRICK HAGGERTY MD (OWNER)
(330) 726-5815
Entity
Organization
Contact information
Practice address
5533 MAHONING AVE, SUITE D, YOUNGSTOWN, OH 44515-2366
(330) 793-7966
(330) 793-8688
Mailing address
2333 HUNTERS RDG, YOUNGSTOWN, OH 44512-8110
(330) 726-5815
(330) 793-8688
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35070508H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258984
—
OH
Enumeration date
11/17/2009
Last updated
11/17/2009
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