Jeffrey E Hagedorn, PA-C is a medical physician assistant in Grand Rapids, MI with 25 years of experience. Jeffrey E Hagedorn, PA-C NPI is 1912916743. 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:
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7272
Fax: (616) 363-7290
The NPI 1912916743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/8/2007.