LENAE E VANWAGNEN

JACKSON, MI
NPI1689626400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: MI  4301076691)
Enumeration Date2006-05-17
Last Update Date2020-12-18
Business Address
Dr. LENAE E VANWAGNEN M.D.
2100 4TH ST
JACKSON, MI 49203-4518
Phone number: 517-787-4330
Mailing Address
Dr. LENAE E VANWAGNEN M.D.
2100 4TH ST
JACKSON, MI 49203-4518
Phone number: 517-787-4330
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