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DR. JOHN GERALD HAGAN IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
16001 W. NINE MILE ROAD, SOUTHFIELD, MI 48075
(248) 849-3000
(248) 849-5324
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
(248) 849-5324

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101025515
MI
390200000X
Student in an Organized Health Care Education/Training Program
MI

Other

Enumeration date
06/15/2017
Last updated
07/21/2022
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