Individual
DR. JAMES F VAN WAGNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1035 US 23 N, ALPENA, MI 49707
(989) 356-4231
(989) 354-8654
Mailing address
1035 US 23 N, ALPENA, MI 49707
(989) 356-4231
(989) 354-8654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002420
MI
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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