Individual
NICOLE SERRA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301085244
MI
207L00000X
Anesthesiology Physician
Primary
63717
TN
207LP3000X
Pediatric Anesthesiology Physician
4301085244
MI
208000000X
Pediatrics Physician
4301085244
MI
Other
Enumeration date
04/02/2007
Last updated
02/22/2024
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