Individual provider · Type 1 NPI

Justin David Wildemann, MD

Student in an Organized Health Care Education/Training Program · Mansfield, OH

NPI number 1235636879 Active

Practice location

1029 S Trimble Rd
Mansfield, OH 44906-3427

Call (419) 522-3341 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X57.246367 (OH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235636879

Justin David Wildemann, MD's National Provider Identifier is 1235636879, issued on Apr 10, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mansfield, OH. The record was last updated on Jun 16, 2021.