NPI 1033405089

Miriam Wildeman, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Charlottesville, VA

Practice location

Address: 1 Hospital Dr Fl 3, Charlottesville, VA 22908-2818
Phone: (434) 982-4403
Fax: (434) 924-0217
Mailing address: PO Box 9007, Charlottesville, VA 22906-9007

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 0101258500 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033405089
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2011
Record last updated: 23 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.