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Justin David Wildemann, MD
Student in an Organized Health Care Education/Training Program in Mansfield, Ohio
NPI 1235636879

Justin David Wildemann is a Student in an Organized Health Care Education/Training Program based in Mansfield, OH. Justin David Wildemann practices in Mansfield, OH and has the professional credentials of MD. The NPI Number for Justin David Wildemann is 1235636879 and holds a License No. 57.246367 (Ohio).

The current practice location address for Justin David Wildemann is 1029 S Trimble Rd, Mansfield, OH and can be reached out via phone at 419-522-3341.

Location: 1029 S Trimble Rd, Mansfield, OH, 44906-3427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235636879
Provider Name
Justin David Wildemann
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1029 S Trimble Rd, Mansfield, OH, 44906-3427
Phone Number
419-522-3341
Fax Number
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1029 S Trimble Rd
City
Mansfield
State
Ohio
Zip
44906-3427
Phone Number
419-522-3341
Fax Number
person
Provider Business Mailing Address Details
Address
1029 S Trimble Rd
City
Mansfield
State
Ohio
Zip
44906-3427
Phone Number
419-522-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
57.246367 (Ohio)
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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