Individual
MARY MARGARET DAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 LAKE DR SE STE B01, GRAND RAPIDS, MI 49546-8292
(616) 267-7400
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301090849
MI
Other
Enumeration date
10/17/2008
Last updated
02/24/2021
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