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Individual

MS. DIANE PENNY WAGNER-HEFFNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1810 TIMBER TRL, ANN ARBOR, MI 48103-2392
(734) 355-3899
(734) 222-1877
Mailing address
1810 TIMBER TRL, ANN ARBOR, MI 48103-2392
(734) 355-3899
(734) 222-1877

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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