Individual
MACY WANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 MADISON ST, FENNIMORE, WI 53809-1432
(608) 822-3285
Mailing address
1125 GRANT ST, FENNIMORE, WI 53809-1729
(608) 391-1009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1001424703
WI
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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