MEDICARE: TAMMY HAGENBAUGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247200000X	Other Technician

General Provider Information

NPI Number	:	1205227113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY HAGENBAUGH

Provider Business Mailing Address
First Line	:	1104 PARTRIDGE DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-9752
Country	:	US
Telephone Number	:	989-573-4263
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 PARTRIDGE DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-9752
Country	:	US
Telephone Number	:	989-573-4263
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2015
Last Update Date	:	03/11/2015

Similar Medicare Providers

1578419552 — ACCESSIBLE PATHS LLC
Practice Location Address:

9752 LOCUST ST
KANSAS CITY, MO
64131-4143

Practice Phone: 816-660-5480
Practice Fax:

1558354787 — MUNSAYAC MEDICAL CLINIC
Practice Location Address:

308 MAIN ST
LUMBER CITY, GA
31549-9752

Practice Phone: 912-363-4389
Practice Fax: 912-363-1377

1184682924 — CARIN L. NIELSEN M.D.
Practice Location Address:

4727 LAKESHORE RD
BOYNE CITY, MI
49712-9752

Practice Phone: 231-638-5585
Practice Fax: 231-577-9006

1487664702 — IOSCO REGIONAL EDUCATIONAL SERVICE AGENCY
Practice Location Address:

27 N REMPERT RD
TAWAS CITY, MI
48763-9752

Practice Phone: 989-362-3006
Practice Fax: 989-362-9076

1245519388 — LYNN MARIE FAGEN MOORE
Practice Location Address:

11720 256TH ST
CHISAGO CITY, MN
55013-9752

Practice Phone: 651-257-4159
Practice Fax:

1053702910 — ACRES FOR LIFE THERAPY & WELLNESS CENTER
Practice Location Address:

11720 256TH ST
CHISAGO CITY, MN
55013-9752

Practice Phone: 651-257-4159
Practice Fax:

Directions to “ TAMMY HAGENBAUGH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.