person
Jacqueline Wanezek, DDS
Student in an Organized Health Care Education/Training Program in Green Bay, Wisconsin
NPI 1932632353

Jacqueline Wanezek is a Student in an Organized Health Care Education/Training Program based in Green Bay, WI. Jacqueline Wanezek practices in Green Bay, WI and has the professional credentials of DDS. The NPI Number for Jacqueline Wanezek is 1932632353 and holds a License No. (Wisconsin).

The current practice location address for Jacqueline Wanezek is 2365 Donarski Ct, Green Bay, WI and can be reached out via phone at 920-621-7465.

Location: 2365 Donarski Ct, Green Bay, WI, 54302-4329
person
Provider Profile Details
NPI Number
1932632353
Provider Name
Jacqueline Wanezek
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2365 Donarski Ct, Green Bay, WI, 54302-4329
Phone Number
920-621-7465
Fax Number
Provider Enumeration Date
04/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2365 Donarski Ct
City
State
Zip
54302-4329
Phone Number
920-621-7465
Fax Number
person
Provider Business Mailing Address Details
Address
2365 Donarski Ct
City
State
Zip
54302-4329
Phone Number
920-621-7465
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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