Organization
AARON M VANWAGNEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON VANWAGNEN (OWNER)
(517) 787-1990
Entity
Organization
Contact information
Practice address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
(517) 787-1990
Mailing address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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