# DR. STEPHANIE KRESCH WILDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114114550
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 6360465-1205 | UT | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD176904 | OR | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | TP119 | KY | — |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 03/08/2022