DR. Jaclyn Vanderwal, MD

NPI #1003443102 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1003443102
Entity Type: Individual
Name: DR. Jaclyn Vanderwal, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Mar 26, 2020
Last Updated: Jun 19, 2025

Practice Location

Address: 8701 W WATERTOWN PLANK RD
City: Milwaukee
State: Wisconsin
ZIP Code: 53226-3548
Phone: (414) 955-1833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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