Anna L Wildermuth in Lafayette - Pediatrics

Anna L Wildermuth - NPI 1255391066

Anna L Wildermuth is a Pediatrics in Lafayette, Indiana. Anna L Wildermuth practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Anna L Wildermuth is 1255391066. The last update date is 2021-03-23.

Anna L Wildermuth's current location address is 3774 Bayley Dr, Lafayette, Indiana. You can contact this provider via phone number 7658078180 and fax number 7658078181. The mailing address for Anna L Wildermuth is 3774 Bayley Dr, Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Anna L Wildermuth
Address 3774 Bayley Dr, Lafayette, Indiana
Phone Number 7658078180
Fax Number 7658078181
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1255391066
Provider Enumeration Date 2006-03-24
Last Updated Date 2021-03-23

Provider Mailing Address Detail

Address 3774 Bayley Dr
City Lafayette
State Indiana (IN)
Post Code 479058651
Phone Number 7658078180
Fax Number 7658078181

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 01043677A
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200028720 IN --
184181 IN ANTHEM

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FAQs about Anna L Wildermuth

What is the unique 10-digit identification code issued to Anna L Wildermuth by the Centers for Medicare & Medicaid Services?

The Anna L Wildermuth has been assigned the NPI (National Provider Identifier) 1255391066 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Anna L Wildermuth?

The Anna L Wildermuth is situated at 3774 Bayley Dr, in the city of Lafayette, state of IN, with the zip code 479058651.

What is Anna L Wildermuth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Anna L Wildermuth is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date was the 1255391066 assigned to Anna L Wildermuth?

The Anna L Wildermuth was issued its 1255391066 on 2006-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Anna L Wildermuth most recently updated or revised?

The details related to Anna L Wildermuth, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-23.

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