Individual
DR. ALEXIS WILDENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
9961 SIERRA AVE, KAISER FONTANA, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A13902
CA
207P00000X
Emergency Medicine Physician
5101019330
MI
Other
Enumeration date
04/11/2011
Last updated
11/04/2021
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