Individual
DR. ERROL P. WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
771 BAYOU PINES EAST DR, LAKE CHARLES, LA 70601-7183
(337) 433-1212
(337) 433-0736
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD200582
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073784
—
LA
Enumeration date
03/07/2007
Last updated
01/30/2017
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