person
Amanda Marie Wilderman
Adult Medicine Physician in Carbondale, Illinois
NPI 1659915171

Amanda Marie Wilderman is an Adult Medicine Physician based in Chester, IL and is specialized in Adult Medicine. Amanda Marie Wilderman practices in Carbondale, IL. The NPI Number for Amanda Marie Wilderman is 1659915171 and holds a License No. 209.020318 (Illinois).

The current practice location address for Amanda Marie Wilderman is 1100 W Diann Ln, Carbondale, IL and can be reached out via phone at 618-549-8006 and via fax at 618-549-8434. You can also correspond with Amanda Marie Wilderman through the mailing address at 1268 COLE PLACE RD, CHESTER, IL - 62233-2054 (mailing address contact number: 618-210-7478).

Location: 1100 W Diann Ln, Carbondale, IL, 62233-2054
person
Provider Profile Details
NPI Number
1659915171
Provider Name
Amanda Marie Wilderman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 W Diann Ln, Carbondale, IL, 62233-2054
Phone Number
618-549-8006
Fax Number
618-549-8434
Provider Enumeration Date
10/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 W Diann Ln
City
State
Zip
62901-5339
Phone Number
618-549-8006
Fax Number
618-549-8434
person
Provider Business Mailing Address Details
Address
1100 W Diann Ln
City
State
Zip
62901-5339
Phone Number
618-549-8006
Fax Number
618-549-8434
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
209.020318 (Illinois)
Definition
Definition to come.
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