LYNN CLARK VANWAGNEN

JACKSON, MI
NPI1609833359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301038051)
Enumeration Date2006-04-27
Last Update Date2011-10-10
Business Address
LYNN CLARK VANWAGNEN MD
1310 GREENWOOD AVE
JACKSON, MI 49203-3077
Phone number: 517-787-1990
Mailing Address
LYNN CLARK VANWAGNEN MD
1310 GREENWOOD AVE
JACKSON, MI 49203-3077
Phone number: 517-787-1990
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