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

Justin Wagner

Individual provider Diagnostic Radiology Physician · NPI 1356608004

Justin Wagner is a Diagnostic Radiology in East Lansing, Michigan. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2008, 18 years ago. Practices with University of Pittsburgh Physicians, a 4,127-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MI
In the registry since
2012

Practice location Address checks out

804 Service Rd Rm D100
East Lansing, MI 48824-7015
Phone: (517) 355-5053
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 510101797 (MI)

Record details

NPI number1356608004
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESDecember 5, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2008 (18 years in practice)
Group practice University Of Pittsburgh Physicians — 4127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations36 on file with Medicare

Other providers in East Lansing