Individual
BARBARA WAEDEKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4351 WEST COLLEGE AVE, SUITE 300, APPLETON, WI 54914
(920) 843-5660
(920) 843-5685
Mailing address
4351 WEST COLLEGE AVE, SUITE 300, APPLETON, WI 54914
(920) 843-5658
(920) 843-5685
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36810-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42139300
—
WI
Enumeration date
11/28/2006
Last updated
03/07/2023
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