Individual
DR. BRUCE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
436 SEVENTH AVE, SUITE 1050, PITTSBURGH, PA 15219-1826
(412) 683-6015
Mailing address
436 SEVENTH AVE, SUITE 1050, PITTSBURGH, PA 15219-1826
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
19199
WV
207T00000X
Neurological Surgery Physician
Primary
MD014650E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612050
—
PA
Enumeration date
08/30/2005
Last updated
08/13/2007
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