Individual
CRAIG WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 MOORES PLAINS BLVD, UPPER MARLBORO, MD 20774-8027
(202) 865-1121
(202) 865-4492
Mailing address
2024 GEORGIA AVE NW, WASHINGTON, DC 20001-3027
(202) 865-3415
(202) 865-6876
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD34904
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010119561
—
VA
05
—
406528000
—
MD
Enumeration date
09/27/2006
Last updated
12/27/2007
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