Individual
JANET LYNN WILDEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1489 S HIGLEY RD, SUITE #101, GILBERT, AZ 85296-4776
(480) 457-8800
(480) 457-8885
Mailing address
1489 S HIGLEY RD, SUITE #101, GILBERT, AZ 85296-4776
(480) 457-8800
(480) 457-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5183
AZ
363A00000X
Physician Assistant
Primary
5183
AZ
Other
Enumeration date
09/24/2012
Last updated
12/19/2013
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