Individual
DR. BRADLEY KENT DAGEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
319 E MICHIGAN AVE, PAW PAW, MI 49079-1426
(269) 657-4440
Mailing address
230 N KALAMAZOO MALL, UNIT 202, KALAMAZOO, MI 49007-5829
(231) 215-1277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035361
MI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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