Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK WAGONER, M.D.
ActiveDR. JACK WAGONER, M.D. is a Anesthesiology healthcare provider located in JACKSON, Michigan. NPI 1598700072 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · JACKSON, MI
Registration Details
- NPI Number
- 1598700072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2006 (20.165119074876 yrs)
- Last Updated
- Nov 6, 2007
- License
-
4301-407025 (MI)
Practice Information
- Address
-
205 N EAST AVEJACKSON, MI, 492011753Browse MI providers · Browse ZIP 49201
- Phone
- 5177884963
- Fax
- 5177895903
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| HOWARD C LARKY | DO | 1013906023 |
| BERNARD EAGLETON | MD | 1649211426 |
| STEVEN N. LANDAU | M.D. | 1922042803 |
| DORIS P CRALLE | M.D | 1245275239 |
| URSULA L. MUNASIFI | M.D | 1396771309 |
| DR. ARUNA KODE | M.D. | 1417984154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.