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Dr. Katelin Rose Wilder-wixson, MD
Student in an Organized Health Care Education/Training Program in Baton Rouge, Louisiana
NPI 1104576701

Katelin Rose Wilder-wixson is a Student in an Organized Health Care Education/Training Program based in Baton Rouge, LA. Katelin Rose Wilder-wixson practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Katelin Rose Wilder-wixson is 1104576701 and holds a License No. (Louisiana).

The current practice location address for Katelin Rose Wilder-wixson is 5246 Brittany Dr, Baton Rouge, LA and can be reached out via phone at 337-329-5959.

Location: 5246 Brittany Dr, Baton Rouge, LA, 70809-2374
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Provider Profile Details
NPI Number
1104576701
Provider Name
Katelin Rose Wilder-wixson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5246 Brittany Dr, Baton Rouge, LA, 70809-2374
Phone Number
337-329-5959
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2588397 05 LA
institution
Provider Business Practice Location Address Details
Address
5246 Brittany Dr
City
State
Zip
70808-9136
Phone Number
337-329-5959
Fax Number
person
Provider Business Mailing Address Details
Address
5246 Brittany Dr
City
State
Zip
70808-9136
Phone Number
337-329-5959
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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