Dr Jeffrey W Wilder, MD | |
1000 1st Dr Nw, Austin, MN 55912-2941 | |
(507) 433-7351 | |
Not Available |
Full Name | Dr Jeffrey W Wilder |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1000 1st Dr Nw, Austin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164490611 | NPI | - | NPPES |
383445481 | Other | MI | TAX ID |
160055213 | Other | MI | RR MEDICARE |
160B41011 | Other | MI | BCBS MI |
4197610 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 65787 (Minnesota) | Secondary |
207V00000X | Obstetrics & Gynecology | 4301067907 (Michigan) | Primary |
Entity Name | Dickinson County Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20040310000583 |
Entity Name | Munson Healthcare Cadillac |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey W Wilder, MD 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 876-7200 | Dr Jeffrey W Wilder, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 433-7351 |
Ruth Ann Pickering, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-434-1092 Fax: 507-434-1477 | |
John Briggs Coppes, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-434-1092 Fax: 507-434-1477 | |
Laurence Howard Nace, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-434-1092 Fax: 507-434-1477 | |
Dr. Bruce Kevin Waite, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 First Dr Nw, Austin, MN 55912 Phone: 507-433-7351 Fax: 507-668-2975 |