Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deborah Banazak Wagenaar, DO

Individual provider Psychiatry Physician · NPI 1255315628

Deborah Banazak Wagenaar, DO is a Psychiatry in East Lansing, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1983, 43 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
43
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

909 Wilson Rd Rm B119
East Lansing, MI 48824-6410
Phone: (517) 353-3070
Fax: (517) 884-1817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence 5101008530 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 5101008530 (MI)

Record details

NPI number1255315628
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1983 (43 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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