Individual
DR. EDWARD ROBERT HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 6TH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
Mailing address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301504701
MI
208C00000X
Colon & Rectal Surgery Physician
4301504701
MI
Other
Enumeration date
03/24/2016
Last updated
09/27/2024
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