Organization
JOHN K. WILDEMORE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K WILDEMORE IV MD (OWNER)
(610) 688-8750
Entity
Organization
Contact information
Practice address
744 W LANCASTER AVE, BUILDING 2, SUITE 230, WAYNE, PA 19087-2523
(610) 688-8750
(610) 688-8751
Mailing address
744 W LANCASTER AVE, BUILDING 2, SUITE 230, WAYNE, PA 19087-2523
(610) 688-8750
(610) 688-8751
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
02/03/2011
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