WANDA VANDERWYST, PA
Physician Assistant - Medical
Active
Individual
NPI: 1629107412
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 254 (WI) |
Frequently Asked Questions
NPI 1629107412 is the National Provider Identifier for WANDA VANDERWYST, PA, a Physician Assistant - Medical provider located in Appleton, WI. This NPI was enumerated on March 5, 2007.
WANDA VANDERWYST, PA practices at 1818 N MEADE ST, Appleton, WI 54911.
Quick Facts
- NPI
- 1629107412
- Type
- Individual
- Enumerated
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
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