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Individual

DR. DAVID E HAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1675 WATERTOWER PLACE, STE 100, EAST LANSING, MI 48823
(517) 332-0200
(517) 332-0963
Mailing address
1675 WATERTOWER PLACE, SUITE 100, EAST LANSING, MI 48823
(517) 332-0200
(517) 332-0963

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301061143
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3493088
MI
Enumeration date
11/04/2005
Last updated
08/22/2011
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