Individual provider · Type 1 NPI

Wanda L. Vanderwyst, PA

Medical Physician Assistant · Appleton, WI

NPI number 1629107412 Active

Practice location

1818 N Meade St
Appleton, WI 54911-3454

Fax (920) 749-4015

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X254 (WI)

Medical Physician Assistant: Definition to come...

330 other providers at this address

Other medical physician assistant providers in Appleton

See all in Appleton →

About NPI 1629107412

Wanda L. Vanderwyst, PA's National Provider Identifier is 1629107412, issued on Mar 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Appleton, WI. The record was last updated on Jul 8, 2007.