Individual
DR. ANDREW JAMES WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 712-4251
(701) 712-4272
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 712-4500
(701) 712-4098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8224
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459441
—
ND
Enumeration date
11/20/2006
Last updated
06/06/2023
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