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Justin Wagner

NPI 1356608004 · on the registry since 2012

Practice

Address
804 Service Rd
Room D100
East Lansing, MI 48824
Phone
(517) 355-5053
Organisation at this address
Msu Health Care Inc
Msu Health Care Inc
Msu Health Care Inc.
Msu Health Care Inc.
Michigan State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
112

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan