Lynn Clark Vanwagnen in Jackson - Internal Medicine
Lynn Clark Vanwagnen - NPI 1609833359
Lynn Clark Vanwagnen is a Internal Medicine in Jackson, Michigan. Lynn Clark Vanwagnen practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lynn Clark Vanwagnen is 1609833359. The last update date is 2011-10-10.
Lynn Clark Vanwagnen's current location address is 1310 Greenwood Ave, Jackson, Michigan. You can contact this provider via phone number 5177871990 and fax number 5177871983. The mailing address for Lynn Clark Vanwagnen is 1310 Greenwood Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lynn Clark Vanwagnen |
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Address | 1310 Greenwood Ave, Jackson, Michigan |
Phone Number | 5177871990 |
Fax Number | 5177871983 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1609833359 |
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Provider Enumeration Date | 2006-04-27 |
Last Updated Date | 2011-10-10 |
Provider Mailing Address Detail
Address | 1310 Greenwood Ave |
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City | Jackson |
State | Michigan (MI) |
Post Code | 492033077 |
Phone Number | 5177871990 |
Fax Number | 5177871983 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 4301038051 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
110241201 | MI | RR MEDICARE | |
101587882 | MI | -- |
Post Comment/ Review Below
What is the Lynn Clark Vanwagnen's 1609833359?
The Lynn Clark Vanwagnen's NPI (National Provider Identifier) Number is 1609833359. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lynn Clark Vanwagnen is physically located?
The Lynn Clark Vanwagnen is situated at the following address: 1310 Greenwood Ave, Jackson, MI 492033077.
What is Lynn Clark Vanwagnen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lynn Clark Vanwagnen's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Lynn Clark Vanwagnen receive the assignment of its 1609833359 from the Centers for Medicare & Medicaid Services?
The Lynn Clark Vanwagnen was issued its 1609833359 by the Centers for Medicare & Medicaid Services on 2006-04-27.
When was the information related to Lynn Clark Vanwagnen most recently updated or refreshed?
The details pertaining to the Lynn Clark Vanwagnen, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-10.