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Justin Wagner
Diagnostic Radiology Physician in East Lansing, Michigan
NPI 1356608004

Justin Wagner is a Diagnostic Radiology Physician based in East Lansing, MI and is specialized in Diagnostic Radiology. Justin Wagner practices in East Lansing, MI. The NPI Number for Justin Wagner is 1356608004 and holds a License No. 510101797 (Michigan).

The current practice location address for Justin Wagner is 804 Service Rd, East Lansing, MI and can be reached out via phone at 517-355-5053.

Location: 804 Service Rd, East Lansing, MI, 48824-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356608004
Provider Name
Justin Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
804 Service Rd, East Lansing, MI, 48824-7015
Phone Number
517-355-5053
Fax Number
Provider Enumeration Date
04/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
804 Service Rd
City
East Lansing
State
Michigan
Zip
48824-7015
Phone Number
517-355-5053
Fax Number
person
Provider Business Mailing Address Details
Address
804 Service Rd
City
East Lansing
State
Michigan
Zip
48824-7015
Phone Number
517-355-5053
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
510101797 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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