Individual
DR. AARON MICHAEL VANWAGNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
(517) 787-1990
(517) 787-9183
Mailing address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
(517) 787-1990
(517) 787-9183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
078023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104669435
—
MI
Enumeration date
11/21/2006
Last updated
12/10/2020
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