Individual provider · Type 1 NPI

Nicholas Bleecker Vanderwerker, MD

Student in an Organized Health Care Education/Training Program · Madison, WI

NPI number 1104769488 Active

Practice location

749 University Row
Madison, WI 53705-1465

Mailing address

Uw Health - Gme, 749 University Row
Madison, WI 53705-1465

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1104769488

Nicholas Bleecker Vanderwerker, MD's National Provider Identifier is 1104769488, issued on Apr 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Apr 13, 2026.