Individual
CYNTHIA A WILBERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19663
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110206712
RAILROAD MEDICARE PIN
SC
01
—
99648
MEDCOST PIN
SC
05
—
N07094
—
SC
Enumeration date
05/16/2006
Last updated
02/24/2012
Update your record
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