Individual
MR. J. NATHAN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
8000 YORK RD, TOWSON, MD 21252-0001
(410) 704-5224
(205) 726-2099
Mailing address
2931 LOMOND PL, ABINGDON, MD 21009-2675
(410) 967-8017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000281
MD
Other
Enumeration date
06/29/2006
Last updated
01/06/2012
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