Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lynn Clark Vanwagnen, MD

Individual provider Internal Medicine Physician · NPI 1609833359

Lynn Clark Vanwagnen, MD is an Internal Medicine in Jackson, Michigan. Graduated from Wayne State University School of Medicine in 1976, 50 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
50
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1310 Greenwood Ave
Jackson, MI 49203-3077
Phone: (517) 787-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301038051 (MI)

Record details

NPI number1609833359
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2006
Last updated in NPPESOctober 10, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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