Wagner, Diane
Wagner, Diane is an individual health care provider with primary practice located at 4963 John R Rd , Troy MI 48085-3572. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Wagner, Diane can be contacted via phone (248) 689-2157.Contact Information
Primary practice address
4963 John R Rd
Troy MI 48085-3572
Phone: (248) 689-2157
Fax: (248) 740-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 5302022570 | Michigan |
Profile Details
| NPI number | 1235540402 |
|---|---|
| LBN Legal business name | Wagner, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2014 |
| Last updated | May 9th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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