Wanda L Vanderwyst is a Medical in Appleton, Wisconsin. Wanda L Vanderwyst practices all healthcare services and medical treatments related to Medical. The NPI Number for Wanda L Vanderwyst is 1629107412. The last update date is 2007-07-08.
Wanda L Vanderwyst's current location address is 1818 N Meade St, Appleton, Wisconsin. You can contact this provider via phone number 9207494000 and fax number 9207494015. The mailing address for Wanda L Vanderwyst is 1818 N Meade St, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda L Vanderwyst |
|---|---|
| Address | 1818 N Meade St, Appleton, Wisconsin |
| Phone Number | 9207494000 |
| Fax Number | 9207494015 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1629107412 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1818 N Meade St |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549113454 |
| Phone Number | 9207494000 |
| Fax Number | 9207494015 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 254 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42923600 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wanda L Vanderwyst by the Centers for Medicare & Medicaid Services?
The Wanda L Vanderwyst has been assigned the NPI (National Provider Identifier) 1629107412. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wanda L Vanderwyst's facilities are geographically located?
The facilities of Wanda L Vanderwyst are physically situated at the following location: 1818 N Meade St, Appleton, WI, 549113454.
What is Wanda L Vanderwyst's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wanda L Vanderwyst is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Wanda L Vanderwyst receive its 1629107412 assignment from the Centers for Medicare & Medicaid Services?
The Wanda L Vanderwyst was assigned its 1629107412 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information related to Wanda L Vanderwyst most recently updated or refreshed?
The details pertaining to the Wanda L Vanderwyst, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.