Individual
DR. SCOTT M HAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 W MAGNETIC ST, SUITE ER, MARQUETTE, MI 49855-2711
(888) 674-0854
(906) 225-3370
Mailing address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2700
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301082043
MI
208D00000X
General Practice Physician
Primary
4301082043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301082043
MICHIGAN LICENSE NUMBER
MI
05
—
4541822
—
MI
Enumeration date
11/29/2005
Last updated
04/16/2018
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