Individual provider · Type 1 NPI

Deanna Marie Wagner, MD

Dermatology Physician · Bloomfield Hills, MI

NPI number 1104141654 Active

Practice location

39533 Woodward Ave # 155
Bloomfield Hills, MI 48304-5188

Fax (248) 607-6777

Mailing address

200 Health Park Dr
Owosso, MI 48867-1291

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X4301102748 (MI)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1104141654

Deanna Marie Wagner, MD's National Provider Identifier is 1104141654, issued on Mar 27, 2010. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Bloomfield Hills, MI. The record was last updated on Aug 25, 2026.