Individual provider · Type 1 NPI

Janelle Maureen-Mirch Wagner, PA-C

Physician Assistant · Troy, MI

NPI number 1649731076 Active

Practice location

44199 Dequindre Rd Ste 315
Troy, MI 48085-1128

Call (248) 964-1160 Map

Mailing address

28430 Malvina Dr
Warren, MI 48088-6316

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601009411 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649731076

Janelle Maureen-Mirch Wagner, PA-C's National Provider Identifier is 1649731076, issued on Mar 28, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Troy, MI. The record was last updated on Nov 2, 2026.