Organization
MID MICHIGAN SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E HAGAN MD (PRESIDENT OWNER)
(517) 332-0200
Entity
Organization
Contact information
Practice address
1675 WATERTOWER PLACE, SUITE 100, EAST LANSING, MI 48823
(517) 332-0200
(517) 332-0963
Mailing address
1675 WATERTOWER PLACE, SUITE 100, EAST LANSING, MI 48823
(517) 332-0200
(517) 332-0963
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G04746
BCN
MI
01
—
OC310610
BCBS
MI
Enumeration date
12/04/2006
Last updated
06/19/2008
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