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Diane Wagner — NPI 1235540402, Troy, MI | NPI Central

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Diane Wagner

NPI 1235540402 · Pharmacotherapy Pharmacist · Troy, MI

Provider details

NPI number: 1235540402
Entity type: Individual
Primary specialty: Pharmacotherapy PharmacistPharmacy Service Providers
Sex: Female
Sole proprietor: No
License: 5302022570 (MI)

Practice location

4963 John R Rd

Troy, MI 48085-3572

Phone: (248) 689-2157

Fax: (248) 740-5940

More MI providers

Mailing address

4963 John R Rd

Troy, MI 48085-3572

Registry dates

Enumerated: 2014-05-09
Last updated: 2014-05-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.