MICHAEL VANWYNGARDEN

GRAND JUNCTION, CO
NPI1790379451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.0007421)
Enumeration Date2021-02-23
Last Update Date2022-07-16
Business Address
MICHAEL VANWYNGARDEN Physician Assistant
1100 NORTH AVE
GRAND JUNCTION, CO 81501-3122
Phone number: 970-248-1020
Mailing Address
MICHAEL VANWYNGARDEN Physician Assistant
2440 N 11TH ST
GRAND JUNCTION, CO 81501-8102
Phone number:
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