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Individual

CHARLES L HAGEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL CENTER DR, SUITE 160, FRANKLIN, OH 45005-5200
(513) 424-1440
(513) 424-1422
Mailing address
200 MEDICAL CENTER DR, SUITE 160, FRANKLIN, OH 45005-5200
(513) 424-1440
(513) 424-1422

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35050018
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000275780
ANTHEM
OH
05
0705106
OH
01
0720338
JF MOLLOY
OH
01
160009444
MEDICARE RAILROAD
OH
01
3152677002
CIGNA
OH
01
641549
AETNA
OH
01
T001806
CHOICE CARE
OH
Enumeration date
06/23/2005
Last updated
04/24/2015
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