Whalio Doctors

NPI 1003855107

Robert Charles Hagemann, OD

Practitioner Optometrist Madison Hts, MI

Practice location

Address
655 W 13 Mile Rd, Madison Hts, MI 48071-1844
Phone
(248) 577-3659
Fax
(248) 588-9320
Mailing address
735 John R Rd, Troy, MI 48083-5856

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence RH002941 (MI)

Registry record

NPI
1003855107
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jun 2006
Record last updated
11 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.