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

WANDA L VANDERWYST, PA

Active

WANDA L VANDERWYST, PA is a Medical Physician Assistant healthcare provider located in APPLETON, Wisconsin. NPI 1629107412 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · APPLETON, WI

Registration Details

NPI Number
1629107412
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2007 (19.439902061848 yrs)
Last Updated
Jul 8, 2007
License
254 (WI)

Practice Information

Address
1818 N MEADE ST
APPLETON, WI, 549113454
Browse WI providers · Browse ZIP 54911
Phone
9207494000
Fax
9207494015
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in APPLETON, WI

Name Credential NPI
CRAIG QUANDT-WALLE PA 1831199439
MR. JOSHUA JOHN WHITE P.A. 1063478055
JANE ANNETTE PETERSON PA-C 1184643827
MRS. JENNIFER MARIE LANGMAN REESE PA-C 1982792305
REBECCA A LEHMAN PA 1770772949
TRACY R. HELMBRECHT PA-C 1457670978
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.