Individual
MICHAEL JAMES BAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756
(603) 650-7254
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-7254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1499
NH
363A00000X
Physician Assistant
4080-23
WI
Other
Enumeration date
05/18/2017
Last updated
11/05/2024
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