NPI 1003443102

Jaclyn Vanderwal, MD

Practitioner Student in an Organized Health Care Education/Training Program Milwaukee, WI

Practice location

Address: 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548
Phone: (414) 955-1833

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003443102
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2020
Record last updated: 19 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.