Individual
JULIE A VAJDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 702-6371
(920) 993-5037
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1022023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41928400
—
WI
Enumeration date
08/30/2005
Last updated
02/23/2026
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