Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNN CLARK VANWAGNEN, MD
Active Sole ProprietorLYNN CLARK VANWAGNEN, MD is a Internal Medicine healthcare provider located in JACKSON, Michigan. NPI 1609833359 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · JACKSON, MI
Registration Details
- NPI Number
- 1609833359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.277675133403 yrs)
- Last Updated
- Oct 10, 2011
- License
-
4301038051 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1310 GREENWOOD AVEJACKSON, MI, 492033077Browse MI providers · Browse ZIP 49203
- Phone
- 5177871990
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| DR. SHAHZAD SHAIKH | MD | 1598761108 |
| DR. ROSE JOHNSON | MD | 1437156858 |
| DR. GREGORY A NAYLOR | MD | 1083602742 |
| RAFAEL C BRILLANTES | MD | 1932197324 |
| ROLANDO MANALO BEREDO | MD | 1093704322 |
| BRUCE STEPHEN BARBOUR | MD | 1386602761 |
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.