National Provider Identifier Database

DEBORAH B WAGENAAR, DO – NPI #1255315628
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

DEBORAH B WAGENAAR, DO
909 WILSON RD RM B119
EAST LANSING, MI48824-6410
Phone: 517-353-3070
Fax: 517-884-1817
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for DEBORAH B WAGENAAR

NPI Number 1255315628
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/30/2005
Last updated 06/29/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 5101008530
  • MI Medicaid: 1255315628
  • MI Medicaid: 3179331
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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