Organization
JEFFREY S HAGAN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HAGAN (OD)
(734) 981-8111
Entity
Organization
Contact information
Practice address
43271 FORD RD, CANTON, MI 48187-3340
(734) 981-8111
(734) 981-2327
Mailing address
43271 FORD RD, CANTON, MI 48187-3340
(734) 981-8111
(734) 981-2327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5076656
—
MI
Enumeration date
01/24/2007
Last updated
03/16/2011
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