Individual provider · Type 1 NPI

Jeffrey E. Hagedorn, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1912916743 Active

Practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Call (616) 363-7272 Map

Fax (616) 363-7290

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003331 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1912916743

Jeffrey E. Hagedorn, PA-C's National Provider Identifier is 1912916743, issued on Aug 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.