Individual
DR. REBECCA HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 SIXTH ST, STE 400, TRAVERSE CITY, MI 49684-2369
(231) 392-0650
(231) 392-0665
Mailing address
1200 SIXTH ST, STE 400, TRAVERSE CITY, MI 49684-2369
(231) 392-0650
(231) 392-0665
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
RV013390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4989078
—
MI
Enumeration date
08/09/2005
Last updated
01/08/2008
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