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

Dr. Deanna Marie Wagner, MD

Individual provider Dermatology Physician · NPI 1104141654

Dr. Deanna Marie Wagner, MD is a Dermatology in Owosso, Michigan. Graduated from University of Michigan Medical School in 2010, 16 years ago. Practices with Memorial Hospital, a 206-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
16
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Health Park Dr
Owosso, MI 48867-1291
Phone: (989) 723-6666
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301102748 (MI)

Record details

NPI number1104141654
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2010
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2010 (16 years in practice)
Group practice Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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