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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 Sep 27th, 2024 - about 2 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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