Nancy Ruth Vandeweghe, PA

NPI #1053308544 in Mauston, Wisconsin

Provider Information

NPI Number: 1053308544
Entity Type: Individual
Name: Nancy Ruth Vandeweghe, PA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1040 DIVISION ST
City: Mauston
State: Wisconsin
ZIP Code: 53948-1931
Phone: (608) 847-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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