Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE JORDAN-WAGNER, M.D.
ActiveDIANE JORDAN-WAGNER, M.D. is a Allergy & Immunology healthcare provider located in TERRE HAUTE, Indiana. NPI 1013025097 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · TERRE HAUTE, IN
Registration Details
- NPI Number
- 1013025097
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2006 (19.97912516113 yrs)
- Last Updated
- Mar 14, 2013
- Licenses
-
01056292A (IN)36106006 (IL)
Practice Information
- Address
-
1429 N 6TH STTERRE HAUTE, IN, 478041037Browse IN providers · Browse ZIP 47804
- Phone
- 8122320564
- Fax
- 8122353330
- Primary Specialty
-
Allergy & Immunology
207RA0201X
- Additional Specialty
- Allergy & Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.