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Wanda L Vanderwyst, PA
Medical Physician Assistant in Appleton, Wisconsin
NPI 1629107412

Wanda L Vanderwyst is a Medical Physician Assistant based in Appleton, WI and is specialized in Medical. Wanda L Vanderwyst practices in Appleton, WI and has the professional credentials of PA. The NPI Number for Wanda L Vanderwyst is 1629107412 and holds a License No. 254 (Wisconsin).

The current practice location address for Wanda L Vanderwyst is 1818 N Meade St, Appleton, WI and can be reached out via phone at 920-749-4000 and via fax at 920-749-4015.

Location: 1818 N Meade St, Appleton, WI, 54911-3454
person
Provider Profile Details
NPI Number
1629107412
Provider Name
Wanda L Vanderwyst
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1818 N Meade St, Appleton, WI, 54911-3454
Phone Number
920-749-4000
Fax Number
920-749-4015
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42923600 05 WI
institution
Provider Business Practice Location Address Details
Address
1818 N Meade St
City
State
Zip
54911-3454
Phone Number
920-749-4000
Fax Number
920-749-4015
person
Provider Business Mailing Address Details
Address
1818 N Meade St
City
State
Zip
54911-3454
Phone Number
920-749-4000
Fax Number
920-749-4015
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
254 (Wisconsin)
Definition
Definition to come...
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