DR. JACK WAGONER, M.D.

Anesthesiology

Active Individual
NPI: 1598700072

Practice Address

205 N EAST AVE
Jackson, MI 49201

Phone: (517) 788-4963

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X Yes 4301-407025 (MI)

Frequently Asked Questions

NPI 1598700072 is the National Provider Identifier for DR. JACK WAGONER, M.D., a Anesthesiology provider located in Jackson, MI. This NPI was enumerated on June 18, 2006.
DR. JACK WAGONER, M.D. practices at 205 N EAST AVE, Jackson, MI 49201.

Quick Facts

NPI
1598700072
Type
Individual
Enumerated
Jun 18, 2006
Last Updated
Nov 6, 2007

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