Individual
MICHAEL THEODORE HAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 SE 21ST ST, GRAND RAPIDS, MN 55744-4268
(218) 326-3438
(218) 327-1475
Mailing address
220 SE 21ST ST, GRAND RAPIDS, MN 55744
(218) 326-3438
(218) 327-1475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8842
MN
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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