Individual
LUKE JUSTIN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4057 MOONCOIN WAY, APT 10201, LEXINGTON, KY 40515-6088
(859) 230-6077
Mailing address
4057 MOONCOIN WAY, APT 10201, LEXINGTON, KY 40515-6088
(859) 230-6077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44339
KY
Other
Enumeration date
11/12/2008
Last updated
10/27/2011
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