Organization
VIRGINIA PARK MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH N. HAGEN D.O. (OWNER)
(313) 894-8504
Entity
Organization
Contact information
Practice address
8500 14TH ST, DETROIT, MI 48206-2425
(313) 894-8504
Mailing address
PO BOX 760128, LATHRUP VILLAGE, MI 48076-0128
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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