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Dianne Michelle Wagner, MD
Student in an Organized Health Care Education/Training Program in Abingdon, Virginia
NPI 1750086542

Dianne Michelle Wagner is a Student in an Organized Health Care Education/Training Program based in Abingdon, VA. Dianne Michelle Wagner practices in Abingdon, VA and has the professional credentials of MD. The NPI Number for Dianne Michelle Wagner is 1750086542 and holds a License No. (Virginia).

The current practice location address for Dianne Michelle Wagner is 613 Campus Dr Ste 200, Abingdon, VA and can be reached out via phone at 276-628-1186 and via fax at 276-628-8507.

Location: 613 Campus Dr Ste 200, Abingdon, VA, 24211-7664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750086542
Provider Name
Dianne Michelle Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
613 Campus Dr Ste 200, Abingdon, VA, 24211-7664
Phone Number
276-628-1186
Fax Number
276-628-8507
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
613 Campus Dr Ste 200
City
Abingdon
State
Virginia
Zip
24210-9703
Phone Number
276-628-1186
Fax Number
276-628-8507
person
Provider Business Mailing Address Details
Address
613 Campus Dr Ste 200
City
Abingdon
State
Virginia
Zip
24210-9703
Phone Number
276-628-1186
Fax Number
276-628-8507
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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