Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Audrey Victoria Vandewall, DO

Individual provider Pediatrics Physician · NPI 1003343237

Dr. Audrey Victoria Vandewall, DO is a Pediatrics Physician in Syracuse, New York. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 408-5854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 5101025536 (MI)

Record details

NPI number1003343237
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 18, 2017
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

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