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Diane Jordan-wagner, MD
Allergy & Immunology (Internal Medicine) Physician in Terre Haute, Indiana
NPI 1013025097

Diane Jordan-wagner is an Allergy & Immunology (Internal Medicine) Physician based in Terre Haute, IN and is specialized in Allergy & Immunology. Diane Jordan-wagner practices in Terre Haute, IN and has the professional credentials of MD. The NPI Number for Diane Jordan-wagner is 1013025097 and holds a License No. 01056292A (Indiana).

The current practice location address for Diane Jordan-wagner is 1429 N 6Th St, Terre Haute, IN and can be reached out via phone at 812-232-0564 and via fax at 812-235-3330.

Location: 1429 N 6Th St, Terre Haute, IN, 47807-4214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013025097
Provider Name
Diane Jordan-wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1429 N 6Th St, Terre Haute, IN, 47807-4214
Phone Number
812-232-0564
Fax Number
812-235-3330
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
030005377 01 RAILROAD MCARE PALAMETTO
200392780 05 IN
P00844293 01 IN RAILROAD MEDICARE
000000230225 01 ANTHEM
200392780Q 05 IN
institution
Provider Business Practice Location Address Details
Address
1429 N 6Th St
City
Terre Haute
State
Indiana
Zip
47804-1037
Phone Number
812-232-0564
Fax Number
812-235-3330
person
Provider Business Mailing Address Details
Address
1429 N 6Th St
City
Terre Haute
State
Indiana
Zip
47804-1037
Phone Number
812-232-0564
Fax Number
812-235-3330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
01056292A (Indiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
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