Individual
DR. JOHN K WILDEMORE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 W LANCASTER AVE, SUITE 230, WAYNE, PA 19087-2523
(610) 688-8750
(610) 688-8751
Mailing address
744 W LANCASTER AVE, SUITE 230, WAYNE, PA 19087-2523
(610) 688-8750
(610) 688-8750
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD423121
PA
Other
Enumeration date
12/28/2005
Last updated
07/08/2007
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