Individual
ANNELIESE WILSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
451 HIGHWAY 13 S, WAVERLY, TN 37185-2109
(615) 924-7975
Mailing address
451 HIGHWAY 13 S, WAVERLY, TN 37185-2109
(615) 924-7975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
01/12/2021
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