Michael Theodore Hagley in Grand Rapids - General Practice
Michael Theodore Hagley - NPI 1972616605
Michael Theodore Hagley is a General Practice in Grand Rapids, Minnesota. Michael Theodore Hagley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Theodore Hagley is 1972616605. The last update date is 2007-07-08.
Michael Theodore Hagley's current location address is 220 Se 21st St, Grand Rapids, Minnesota. You can contact this provider via phone number 2183263438 and fax number 2183271475. The mailing address for Michael Theodore Hagley is 220 Se 21st St, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Theodore Hagley |
|---|---|
| Address | 220 Se 21st St, Grand Rapids, Minnesota |
| Phone Number | 2183263438 |
| Fax Number | 2183271475 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1972616605 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 220 Se 21st St |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 55744 |
| Phone Number | 2183263438 |
| Fax Number | 2183271475 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8842 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identification code assigned to Michael Theodore Hagley by the Centers for Medicare & Medicaid Services?
The Michael Theodore Hagley has been issued the NPI (National Provider Identifier) 1972616605. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael Theodore Hagley is physically located?
The Michael Theodore Hagley is situated at the following address: 220 Se 21St St, Grand Rapids, MN 55744.
What is Michael Theodore Hagley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Theodore Hagley's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Michael Theodore Hagley receive the assignment of its 1972616605 from the Centers for Medicare & Medicaid Services?
The Michael Theodore Hagley was issued its 1972616605 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date was the information pertaining to Michael Theodore Hagley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Theodore Hagley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.