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Dr. John Gerald Hagan IV, DO
Family Medicine Physician in Southfield, Michigan
NPI 1548790165

John Gerald Hagan IV is a Family Medicine Physician based in Southfield, MI. John Gerald Hagan IV practices in Southfield, MI and has the professional credentials of DO. The NPI Number for John Gerald Hagan IV is 1548790165 and holds a License No. (Michigan).

The current practice location address for John Gerald Hagan IV is 16001 W. Nine Mile Road, Southfield, MI and can be reached out via phone at 248-849-3000 and via fax at 248-849-5324.

Location: 16001 W. Nine Mile Road, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548790165
Provider Name
John Gerald Hagan IV
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
16001 W. Nine Mile Road, Southfield, MI, 48075-4818
Phone Number
248-849-3000
Fax Number
248-849-5324
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16001 W. Nine Mile Road
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-3000
Fax Number
248-849-5324
person
Provider Business Mailing Address Details
Address
16001 W. Nine Mile Road
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-3000
Fax Number
248-849-5324
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101025515 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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