| Aaron M Vanwagnen Md Pllc | |
|
1310 Greenwood Ave Jackson MI 49203-3077 | |
| (517) 787-1990 | |
| Not Available |
| Full Name | Aaron M Vanwagnen Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1310 Greenwood Ave, Jackson, Michigan |
| Authorized Official Name and Position | Aaron Vanwagnen (OWNER) |
| Authorized Official Contact | 5177871990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron M Vanwagnen Md Pllc 1310 Greenwood Ave Jackson MI 49203-3077 Ph: () - | Aaron M Vanwagnen Md Pllc 1310 Greenwood Ave Jackson MI 49203-3077 Ph: (517) 787-1990 |
| NPI Number | 1629371448 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 9931385036 |
|---|---|
| Medicare Enrollment ID | O20110525000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629371448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aaron M Vanwagnen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245305044 PECOS PAC ID: 4587626049 Enrollment ID: I20041028000117 |
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