CHARLES HERBERT BAGLEY — OIG Excluded Provider (DULUTH, MN, 1128b4)
CHARLES HERBERT BAGLEY — OIG Excluded Provider (DULUTH, MN, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CHARLES HERBERT BAGLEY; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | CHARLES HERBERT BAGLEY |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | PSYCHIATRY |
| NPI | 1568496115 |
| City | DULUTH |
| State | MN |
| ZIP | 55804 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2021-03-18 |
| Source | HHS-OIG LEIE |
$1499/mo
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