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Trent Vanwagoner

NPI 1932013976 · on the registry since 2026

Practice

Address
3825 Hendershot Ave Nw
Walker, MI 49544
Phone
(616) 965-4267

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan