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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN WAGNER

Active

JUSTIN WAGNER is a Diagnostic Radiology healthcare provider located in EAST LANSING, Michigan. NPI 1356608004 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · EAST LANSING, MI

Registration Details

NPI Number
1356608004
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2012 (14.324709880276 yrs)
Last Updated
Dec 5, 2025
License
510101797 (MI)

Practice Information

Address
804 SERVICE RD
ROOM D100
EAST LANSING, MI, 488247015
Browse MI providers · Browse ZIP 48824
Phone
5173555053
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in EAST LANSING, MI

Name Credential NPI
DR. GERALD RICHARD ABEN MD 1689632911
DR. LAWRENCE W CORYELL MD 1710935382
DR. KEVIN C ROBINSON DO 1750339388
BING TAI M.D. 1679526867
SURESH K MUKHERJI MD 1326129453
RYAN STEPHEN FAJARDO M.D. 1932286945
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.