Organization
HENRY HAGENSTEIN, D.O., P.C.
Active
Organization
HENRY HAGENSTEIN, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY HAGENSTEIN D.O. (OWNER)
(810) 606-0682
Entity
Organization
Contact information
Practice address
3635 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-0682
(810) 606-0686
Mailing address
3635 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-0682
(810) 606-0686
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111586061
—
MI
Enumeration date
03/07/2008
Last updated
03/11/2010
Update your record
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