Individual
DR. TERRY T WILSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 BAPTIST WAY STE 3A, PENSACOLA, FL 32503-2274
(448) 227-6604
(850) 857-1747
Mailing address
125 BAPTIST WAY STE 3A, PENSACOLA, FL 32503-2274
(448) 227-6604
(850) 857-1747
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
24078
AL
207RC0000X
Cardiovascular Disease Physician
Primary
ME142841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104717100
—
FL
Enumeration date
06/21/2006
Last updated
03/19/2024
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