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Danielle M Vandeberg, PA
Physician Assistant in Green Bay, Wisconsin
NPI 1386936201

Danielle M Vandeberg is a Physician Assistant based in Chicago, WI. Danielle M Vandeberg practices in Green Bay, WI and has the professional credentials of PA. The NPI Number for Danielle M Vandeberg is 1386936201 and holds a License No. 10958 (Wisconsin).

The current practice location address for Danielle M Vandeberg is 2845 Greenbrier Rd, Green Bay, WI and can be reached out via phone at 414-525-2400.

Location: 2845 Greenbrier Rd, Green Bay, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386936201
Provider Name
Danielle M Vandeberg
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2845 Greenbrier Rd, Green Bay, WI, 60673-5044
Phone Number
414-525-2400
Fax Number
Provider Enumeration Date
05/11/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PO1053637 01 MN MEDICARE RAILROAD
100038810 05 WI
institution
Provider Business Practice Location Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
414-525-2400
Fax Number
person
Provider Business Mailing Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
414-525-2400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
014695 (Minnesota)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
10958 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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