Individual
PETER GERARD HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 CHALLIS RD, BRIGHTON, MI 48116-9416
(810) 263-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301068305
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301068305
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4223766
—
MI
Enumeration date
10/27/2006
Last updated
01/17/2019
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