Organization
MATTHEW HAGLUND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN J DEWITT (OFFICE MANAGER)
(989) 584-6110
Entity
Organization
Contact information
Practice address
10708 E CARSON CITY RD, CARSON CITY, MI 48811-9560
(989) 584-6110
(989) 584-9929
Mailing address
10708 E CARSON CITY RD, PO BOX 188, CARSON CITY, MI 48811-9560
(989) 584-6110
(989) 584-9929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000005749
PHYSICIANS HEALTH PLAN
MI
01
—
95OE910310
BCBS OF MICHIGAN
MI
Enumeration date
05/11/2009
Last updated
05/11/2009
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