Individual provider · Type 1 NPI

Jeremy Wilder, MD

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1780070797 Active

Practice location

1 Medical Center Drive
Morgantown, WV 26505

Call (304) 293-1198 Map

Fax (304) 293-1216

Mailing address

1113 Miller St Apt 2
Johnson City, TN 37604-4388

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1780070797

Jeremy Wilder, MD's National Provider Identifier is 1780070797, issued on Apr 7, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Apr 7, 2015.