Individual
BAYLEE E WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 N WABASH AVE STE 360, MARION, IN 46952-2678
(765) 664-3292
(765) 662-7560
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003381A
IN
Other
Enumeration date
11/02/2021
Last updated
01/12/2024
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