Organization
VIRGINIA PARK INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH N HAGEN DO (PRESIDENT/ REGISTERED AGENT)
(313) 894-3950
Entity
Organization
Contact information
Practice address
8500 14TH ST, DETROIT, MI 48206-2425
(313) 894-3950
(313) 894-1729
Mailing address
8500 14TH ST, DETROIT, MI 48206-2425
(313) 894-3950
(313) 894-1729
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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