Individual
HENRY HAGENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3635 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-0682
(810) 606-0686
Mailing address
3635 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-0682
(810) 606-0686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HH007300
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1586061
—
MI
Enumeration date
11/01/2006
Last updated
03/23/2010
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