Individual
JOSEPH N HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
31500 TELEGRAPH RD, SUITE 150, BINGHAM FARMS, MI 48025-4367
(248) 593-0575
(877) 402-0518
Mailing address
31500 TELEGRAPH RD, SUITE 150, BINGHAM FARMS, MI 48025-4313
(248) 593-0575
(877) 402-0581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101012230
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446975711
—
MI
01
—
5101012230
CONTROLLED SUBSTANCE
MI
Enumeration date
08/18/2005
Last updated
08/15/2016
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