Vicki Lynn Waedekin, P.A.

NPI #1164408100 in Wales, Wisconsin

Provider Information

NPI Number: 1164408100
Entity Type: Individual
Name: Vicki Lynn Waedekin, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Dec 21, 2005
Last Updated: Dec 6, 2021

Practice Location

Address: 144 E SUMMIT AVE
City: Wales
State: Wisconsin
ZIP Code: 53183-9546
Phone: (262) 968-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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