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

Dr. Marie Susan Wagener, DO

Individual provider Dermatology Physician · NPI 1104054923

Dr. Marie Susan Wagener, DO is a Dermatology in Allentown, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2013, 13 years ago. Practices with Group M Dermatology PA, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2009
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.

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Practice location Address checks out

250 Cetronia Rd Ste 301
Allentown, PA 18104-9147
Phone: (610) 437-2378
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS016478 (PA)

Record details

NPI number1104054923
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Group M Dermatology Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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