Timothy Blake Wilder, IDMT
NPI #1184858045 in Scott Afb, Illinois
Provider Information
- NPI Number
- 1184858045
- Entity Type
- Individual
- Name
- Timothy Blake Wilder, IDMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- May 7, 2009
- Last Updated
- May 7, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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