Organization
JAMES P. VANWAGNER D.O., P.C.
Active
Organization
JAMES P. VANWAGNER D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PARKER VANWAGNER D.O. (OWNER)
(231) 935-0957
Entity
Organization
Contact information
Practice address
5246 N ROYAL DR, SUITE A, TRAVERSE CITY, MI 49684-6984
(231) 935-0957
(231) 935-0960
Mailing address
5246 N ROYAL DR, SUITE A, TRAVERSE CITY, MI 49684-6984
(231) 935-0957
(231) 935-0960
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
JV009579
MI
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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