Individual
MS. WENDY M VAEREWYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
FROEDTERT & MED COLLEGE CLIN - WEST, 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - WEST, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1573
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007906261V
HUMANA
—
05
—
41982600
—
WI
Enumeration date
05/15/2006
Last updated
07/08/2007
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