Individual
DR. JOHN GABRIEL HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
712 W HURON ST APT 107, ANN ARBOR, MI 48103-4261
(917) 434-3548
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301098090
MI
207L00000X
Anesthesiology Physician
Primary
P73032
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03463898
—
NY
Enumeration date
06/10/2008
Last updated
10/30/2019
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