person
Lianne Rose Wagner, DO
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1871237602

Lianne Rose Wagner is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Lianne Rose Wagner practices in Detroit, MI and has the professional credentials of DO. The NPI Number for Lianne Rose Wagner is 1871237602 and holds a License No. (Michigan).

The current practice location address for Lianne Rose Wagner is 22101 Moross Rd Ste 214, Detroit, MI and can be reached out via phone at 313-343-7110.

Location: 22101 Moross Rd Ste 214, Detroit, MI, 48236-2148
person
Provider Profile Details
NPI Number
1871237602
Provider Name
Lianne Rose Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
22101 Moross Rd Ste 214, Detroit, MI, 48236-2148
Phone Number
313-343-7110
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22101 Moross Rd Ste 214
City
State
Zip
48236-2148
Phone Number
313-343-7110
Fax Number
person
Provider Business Mailing Address Details
Address
22101 Moross Rd Ste 214
City
State
Zip
48236-2148
Phone Number
313-343-7110
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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