Individual
DR. JON CHRISTOPHER VANWAGNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
137 PARKER AVE, ALPENA, MI 49707-1413
(989) 916-6168
Mailing address
137 PARKER AVE, ALPENA, MI 49707-1413
(989) 916-6168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004725
MI
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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