Search › Wisconsin › 152W00000X
Busisiwe Vandriel, O.D
NPI 1043403967 · on the registry since 2007
Practice
- Address
- 200 S 18th Ave
Wausau, WI 54401 - Phone
- (715) 842-8040
- Fax
- (715) 848-8773
- Organisation at this address
- Shopko Stores Operating Co Llc
Shopko Stores Operating Co. LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152W00000X - Licence states on file
- WI, MN, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin