Deanna Marie Wagner M.D.

NPI 1104141654 - Dermatology - 207N00000X

NPI Details
NPI 1104141654
Gender Female
Enumeration Date 03/27/2010
Last Updated 09/02/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
2121 SPRING ARBOR RD
JACKSON MI, 49203-2707, US
Phone (517) 787-5350
Fax (517) 787-5844
Business Location
2121 SPRING ARBOR RD
JACKSON MI, 49203-2707, US
Phone (517) 787-5350
Fax (517) 787-5844
Toxanomy
Taxonomy Code 207N00000X
License State Michigan
License Number 4301102748
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According to our database, Dr. Deanna Marie Wagner M.D. NPI is 1104141654, taxonomy code is 207N00000X and license number is 4301102748, license state is located at Michigan. Deanna Marie Wagner M.D. physically located at 2121 Spring Arbor Rd, Jackson MI, 49203-2707. NPI Number Deanna Marie Wagner M.D. has the Individual type.

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1104141654 NPI number is provided on an as is basis without warranty of any kind. 1104141654 is maintained by the National Plan & Provider Enumeration System. The contents of Deanna Marie Wagner M.D. are for informational purposes only.