Individual
ALBERT WILDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2675 N DECATUR RD, SUITE 210, DECATUR, GA 30033
(404) 292-5938
(404) 292-3291
Mailing address
2675 N DECATUR RD, SUITE 210, DECATUR, GA 30033
(404) 292-5938
(404) 292-3291
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D31372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00178329G
—
GA
Enumeration date
03/14/2006
Last updated
09/02/2010
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