Individual provider · Type 1 NPI

Jacqueline Wanezek, DDS

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

NPI number 1932632353 Active

Practice location

2365 Donarski Ct
Green Bay, WI 54302-4329

Call (920) 621-7465 Map

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 1932632353

Jacqueline Wanezek, DDS's National Provider Identifier is 1932632353, issued on Apr 4, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Green Bay, WI. The record was last updated on Apr 4, 2017.