Individual
J EDWIN WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 HOSPITAL DR, BLACKSBURG, VA 24060-7023
(540) 953-0530
(540) 953-0510
Mailing address
PO BOX 928, BLACKSBURG, VA 24063-0928
(540) 953-0530
(540) 953-0510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101047913
VA
Other
Enumeration date
07/08/2005
Last updated
05/20/2011
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