Dr. Jack Wagoner, MD
Dr. Jack Wagoner, MD is an Anesthesiology in Jackson, Michigan. Qualified in 1986, 40 years ago. Practices with Anesthesia Associates of Ann Arbor PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 40
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
205 N East AveJackson, MI 49201-1753
Phone: (517) 788-4963
Fax: (517) 789-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 4301-407025 (MI) |
|---|
Record details
| NPI number | 1598700072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 18, 2006 |
| Last updated in NPPES | November 6, 2007 |
| Mailing address | 205 N East Ave, Jackson, MI 49201-1753 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1986 (40 years in practice) |
| Group practice | Anesthesia Associates Of Ann Arbor Pllc — 217 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Jackson
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Ravnita Sharma-Roberts, MD
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Dr. Abigail Susan Smith, MD
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-7836
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Ryan Sean Sullivan, DO
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-3964
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Dr. Abdul Kader Tabbara, MD
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-7836
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Justin West, CRNA
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-7836
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Dr. Joshua Evan Yankelove, MD
205 N East Ave, Jackson, MI 49201-1753 · (517) 841-7836