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Individual

JEFFRY EDWARD HAGENSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1163 TUMBLEWEED CT., FLINT, MI 48532
(810) 732-7082
(425) 963-5562
Mailing address
1163 TUMBLEWEED CT., FLINT, MI 48532
(810) 732-7082
(425) 963-5562

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
5101007130
MI

Other

Enumeration date
04/16/2013
Last updated
04/16/2013
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