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1952333627
MICHAEL BRIAN WILDERMUTH
LAFAYETTE, IN
NPI
1952333627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01043585A)
Enumeration Date
2006-07-06
Last Update Date
2023-10-20
Business Address
Dr. MICHAEL BRIAN WILDERMUTH M.D.
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4917
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Mailing Address
Dr. MICHAEL BRIAN WILDERMUTH M.D.
PO BOX 78838
DETROIT, MI 48278-0838
Phone number: 317-528-4800
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