| Organization Name: | HAGERMAN FAMILY PHYSICIANS, INC |
| NPI Number: | 1538266739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY L HAGERMAN (OWNER) |
| Mailing Address: | 128 Depot St Wauseon |
| State: | OH US |
| Postal Code: | 435671305 |
| Phone Number: | 4193350351 |
| Fax Number: | 4193350397 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 12/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 35082560 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |