STANLEY HAEGERT MD NPI 1154405009

NPI Information

  • NPI: 1154405009
  • Provider Name: STANLEY HAEGERT, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1310 WISCONSIN ST
    SUITE 103
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 846-2640

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NPI Details

Stanley Haegert, MD is a family medicine in Grand Haven, MI. The provider is 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. Stanley Haegert, MD NPI is 1154405009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 WISCONSIN ST
SUITE 103
GRAND HAVEN, MI
ZIP 49417-472
Phone: (616) 846-2640
Fax: (616) 846-3110

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine64514MINNESOTANo
2207Q00000XFamily Medicine11742CWYOMINGNo
3207Q00000XFamily MedicineMD60893797WASHINGTONNo
4207Q00000XFamily MedicineG158510CALIFORNIANo
5207Q00000XFamily Medicine036147324ILLINOISNo
6207Q00000XFamily Medicine18348NEVADANo
7207Q00000XFamily MedicineCDRH.0061038COLORADONo
8207Q00000XFamily Medicine57243ARIZONANo
9207Q00000XFamily MedicineMC-0098IDAHONo
10207Q00000XFamily MedicineMD-46030IOWANo
11207Q00000XFamily Medicine11380SOUTH DAKOTANo
12207Q00000XFamily Medicine4301407097MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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