Individual
MS. DEANNA M. WANZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1524
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
HEALTH PARTNERS
—
05
—
40029600
—
WI
01
—
641671046996
PREFERRED ONE
—
01
—
6418089
MEDICA
—
01
—
7774045
AETNA
—
01
—
98G07WA
MN BCBS
—
Enumeration date
09/14/2006
Last updated
07/09/2007
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