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

Diane Wagner

Individual provider Pharmacotherapy Pharmacist · NPI 1235540402

Diane Wagner is a Pharmacotherapy Pharmacist in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
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Practice location Address checks out

4963 John R Rd
Troy, MI 48085-3572
Phone: (248) 689-2157
Fax: (248) 740-5940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence 5302022570 (MI)

Record details

NPI number1235540402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2014
Last updated in NPPESMay 9, 2014
Mailing address4963 John R Rd, Troy, MI 48085-3572

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