| Aaron Van Wagnen Md Pllc | |
|
1310 Greenwood Ave Jackson MI 49203-3077 | |
| (517) 787-1990 | |
| (517) 787-9183 |
| Full Name | Aaron Van Wagnen Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1310 Greenwood Ave, Jackson, Michigan |
| Authorized Official Name and Position | Aaron Michael Van Wagnen (PHYSICIAN) |
| Authorized Official Contact | 5177871990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Van Wagnen Md Pllc 1310 Greenwood Ave Jackson MI 49203-3077 Ph: (517) 787-1990 | Aaron Van Wagnen Md Pllc 1310 Greenwood Ave Jackson MI 49203-3077 Ph: (517) 787-1990 |
| NPI Number | 1013145846 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013145846 | NPI | - | NPPES |
| 4669435 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 078023 (Michigan) | Primary |
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