Individual
MICHAEL HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. SLP
Contact information
Practice address
3200 S 20TH ST, MILWAUKEE, WI 53215-4442
(414) 389-3274
Mailing address
1219 N 62ND ST APT 207, WAUWATOSA, WI 53213-3075
(414) 559-0203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4316-154
WI
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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