Deborah Banazak Wagenaar, D.O.
NPI #1255315628 in East Lansing, Michigan
Provider Information
- NPI Number
- 1255315628
- Entity Type
- Individual
- Name
- Deborah Banazak Wagenaar, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Geriatric Psychiatry
- Credential
- D.O.
- Enumeration Date
- Nov 30, 2005
- Last Updated
- Jun 29, 2023
Practice Location
- Address
- 909 WILSON RD RM B119
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48824-6410
- Phone
- (517) 353-3070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Psychiatry & Neurology - Geriatric Psychiatry — Geriatric Psychiatry |
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