Dr. Aaron Michael Vanwagnen, MD
Internal Medicine in Jackson, MI. Individual provider (NPI-1).
NPI number1245305044
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1245305044
- Entity type
- Individual (NPI-1)
- Name
- Dr. Aaron Michael Vanwagnen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2006
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 078023 | MI | Yes |
Practice location
1310 Greenwood AveJackson, MI 49203-3077
Phone 517-787-1990 · Fax 517-787-9183
Mailing address
1310 Greenwood AveJackson, MI 49203-3077
Phone 517-787-1990 · Fax 517-787-9183
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