Lynn Van Wagnen MD PC

NPI #1396973129 in Jackson, Michigan

Provider Information

NPI Number: 1396973129
Entity Type: Organization
Organization Name: Lynn Van Wagnen MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 1, 2009
Last Updated: Jul 27, 2009

Practice Location

Address: 1310 GREENWOOD AVE
City: Jackson
State: Michigan
ZIP Code: 49203-3077
Phone: (517) 787-1990

Authorized Official

Name: DR. LYNN CLARK VAN WAGNEN, MD
Title: PHYSICIAN
Phone: (517) 787-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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