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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VICKI LYNN WAEDEKIN, P.A.

Active

VICKI LYNN WAEDEKIN, P.A. is a Physician Assistant healthcare provider located in WALES, Wisconsin. NPI 1164408100 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WALES, WI

Registration Details

NPI Number
1164408100
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2005 (20.630376257129 yrs)
Last Updated
Dec 6, 2021
License
923-023 (WI)

Practice Information

Address
144 E SUMMIT AVE
WALES, WI, 531839546
Browse WI providers · Browse ZIP 53183
Phone
2629686161
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WALES, WI

Name Credential NPI
MRS. KATHERINE M MCGAVER PAC 1154528917
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.