Individual provider · Type 1 NPI
Diane Jordan-Wagner, MD
Allergy & Immunology (Internal Medicine) Physician · Terre Haute, IN
Practice location
1429 N 6th St
Terre Haute, IN 47804-1037
Fax (812) 235-3330
Mailing address
221 S 6th St
Terre Haute, IN 47807-4214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician Primary | 207RA0201X | 01056292A (IN) |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 36106006 (IL) |
Allergy & Immunology (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
About NPI 1013025097
Diane Jordan-Wagner, MD's National Provider Identifier is 1013025097, issued on Aug 29, 2006. The primary taxonomy on file is Allergy & Immunology (Internal Medicine) Physician (207RA0201X), and the practice location is in Terre Haute, IN. The record was last updated on Mar 14, 2013.