Hagen, Edward Robert
Hagen, Edward Robert is an individual health care provider with primary practice located at 1221 6Th St Ste 300 , Traverse City MI 49684-2360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Hagen, Edward Robert can be contacted via phone (231) 935-2400.Contact Information
Primary practice address
1221 6Th St Ste 300
Traverse City MI 49684-2360
Phone: (231) 935-2400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 4301504701 | Michigan |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301504701 | Michigan |
Profile Details
NPI number | 1811359268 |
---|---|
LBN Legal business name | Hagen, Edward Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2016 |
Last updated | Aug 2nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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