Dianne P Wagner (NPI# 1407880792, PAC ID# 3577692466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407880792 |
| PAC ID by PECOS | 3577692466 |
| Professional Enrollment ID | I20100602000965 |
| Full Name | Dianne P Wagner |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Address |
4660 S Hagadorn Rd East Lansing MI 48823-5353 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3870405954 |
| Number of Group Practice Members | 189 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5380 | MICHIGAN STATE UNIVERSITY | |
| 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 | MICHIGAN STATE UNIVERSITY |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Physicians | 226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Marie Thomas | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Jennifer Boote | Pediatric Medicine | Michigan State University | 7355 Westshire Dr, Suite 102, Lansing, MI 48917-9764 |
| Robert T Scott | Family Medicine | Michigan State University | 804 Service Rd Rm, A225, East Lansging, MI 48824-7040 |
| Christine L Shafer | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Suresh Kumar Mukherji | Diagnostic Radiology | Michigan State University | 1500 S Main, Eaton Rapids, MI 48827-1952 |
| Sandra D Bulemore | Nurse Practitioner | Michigan State University | 138 Service Rd, A142, East Lansing, MI 48824-1376 |
| Albert Aniskiewicz | Psychologist, Clinical | Michigan State University | 804 Service Rd, Rm A217, East Lansing, MI 48824-7015 |
| Cheryl G Mills | Nurse Practitioner | Michigan State University | 4650 S Hagadorn Rd, 100 Msu Medicine Specialty Center, East Lansing, MI 48823-5386 |
| Joseph R Pernicone | Diagnostic Radiology | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Kevin Charles Robinson | Diagnostic Radiology | Michigan State University | 463 E Circle Dr, Olin Student Health Services, East Lansing, MI 48824-7500 |
| Street Address |
4660 S HAGADORN RD |
| City | EAST LANSING |
| State | MI |
| Zip | 48823-5353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Marie Thomas | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Catherine B Donahue | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, 500 Michigan State University Spine Center, East Lansing, MI 48823-6804 |
| Paul D Schneider | General Surgery | Michigan State University | 4660 S Hagadorn Rd, Suite 600, East Lansing, MI 48823-5383 |
| Supratik Rayamajhi | Internal Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Mark R Gugel | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Mary C Thiel | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Jennifer Gilmore | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Ashley R Day | Physician Assistant | Michigan State University | 4660 S Hagadorn Rd, Suite 600, East Lansing, MI 48823-5383 |
| Jacob Joseph Rowan | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, 500 Msu Spine and Orthopedic Center, East Lansing, MI 48823-6804 |
| Clarence Nicodemus | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane M Smith | Otolaryngology | Mid Michigan Ear Nose and Throat PC | 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1222 |
| Marilyn A Larkey | Clinical Social Worker | 1970 N Harrison Rd, East Lansing, MI 48823-1304 | |
| Gary H Dwight | Maxillofacial Surgery | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | |
| Michelle A Meade | Chiropractic | 802 W Lake Lansing Rd, East Lansing, MI 48823-1331 | |
| Judy L Tant | Psychologist, Clinical | 1990 Pinecrest Dr, East Lansing, MI 48823-1350 | |
| Stephen P Thompson | Optometry | 2200 Coolidge Rd, Suite 15, East Lansing, MI 48823-1363 | |
| Melissa K Aste | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 2075 Coolidge Rd, East Lansing, MI 48823-1378 |
| James E Budge | Optometry | Lansing Ophthalmology, PC | 2001 Coolidge Rd, East Lansing, MI 48823-1378 |
| Craig D Lewis | Ophthalmology | Lansing Ophthalmology, PC | 2001 Coolidge Rd, East Lansing, MI 48823-1378 |
| Michael J Bueche | Ophthalmology | Lansing Ophthalmology, PC | 2001 Coolidge Rd, East Lansing, MI 48823-1378 |
| Find all physicians in zip 48823 | |||
| City | EAST LANSING |
| Zip Code | 48823 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EAST LANSING + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dianne P Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.