Organization
MARION L. HAGAN M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION L. HAGAN M.D. (PHYSICIAN/ OWNER)
(812) 936-4515
Entity
Organization
Contact information
Practice address
567 S MAPLE ST, FRENCH LICK, IN 47432-2245
(812) 936-4515
(812) 936-4536
Mailing address
567 S MAPLE ST, FRENCH LICK, IN 47432-2245
(812) 936-4515
(812) 936-4536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01019427
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081178
BLUE SHEILD
—
Enumeration date
08/08/2007
Last updated
08/08/2007
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