Individual
DR. MICHAEL J VANWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2147 PROFESSIONAL DR, GAYLORD, MI 49735-0003
(989) 732-1753
Mailing address
2147 PROFESSIONAL DR, GAYLORD, MI 49735-0003
(989) 732-1753
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101021608
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
OS16571
FL
Other
Enumeration date
06/27/2015
Last updated
03/14/2023
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