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2200 Springport Rd Ste 800 Jackson MI 49202-1432 | |
(517) 205-1620 | |
(517) 205-0106 |
Full Name | |
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Speciality | Clinic/center |
Location | 2200 Springport Rd Ste 800, Jackson, Michigan |
Authorized Official Name and Position | Kevin Leonard (VP FINANCE) |
Authorized Official Contact | 5172057843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 67000 Dept 272801 Detroit MI 48267-0001 Ph: (517) 205-7843 | 2200 Springport Rd Ste 800 Jackson MI 49202-1432 Ph: (517) 205-1620 |
NPI Number | 1164927844 |
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Provider Enumeration Date | 03/26/2018 |
Last Update Date | 03/28/2018 |
Identifier | Type | State | Issuer |
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1164927844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Aaron Van Wagnen Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Greenwood Ave, Jackson, MI 49203 Phone: 517-787-1990 Fax: 517-787-9183 | |
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