MICHAEL BRIAN WILDERMUTH

LAFAYETTE, IN
NPI1952333627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01043585A)
Enumeration Date2006-07-06
Last Update Date2023-10-20
Business Address
DR. MICHAEL BRIAN WILDERMUTH M.D.
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4917
Mailing Address
DR. MICHAEL BRIAN WILDERMUTH M.D.
PO BOX 78838
DETROIT, MI 48278-0838
Phone number: 317-528-4800
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