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Diane Wagner
Pharmacotherapy Pharmacist in Troy, Michigan
NPI 1235540402

Diane Wagner is a Pharmacotherapy Pharmacist based in Troy, MI and is specialized in Pharmacotherapy. Diane Wagner practices in Troy, MI. The NPI Number for Diane Wagner is 1235540402 and holds a License No. 5302022570 (Michigan).

The current practice location address for Diane Wagner is 4963 John R Rd, Troy, MI and can be reached out via phone at 248-689-2157 and via fax at 248-740-5940.

Location: 4963 John R Rd, Troy, MI, 48085-3572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235540402
Provider Name
Diane Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
4963 John R Rd, Troy, MI, 48085-3572
Phone Number
248-689-2157
Fax Number
248-740-5940
Provider Enumeration Date
05/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4963 John R Rd
City
Troy
State
Michigan
Zip
48085-3572
Phone Number
248-689-2157
Fax Number
248-740-5940
person
Provider Business Mailing Address Details
Address
4963 John R Rd
City
Troy
State
Michigan
Zip
48085-3572
Phone Number
248-689-2157
Fax Number
248-740-5940
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacotherapy
Taxonomy
1835P1200X
License No.
5302022570 (Michigan)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
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