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Timothy Wilder, IDMT
NPI 1184858045 · on the registry since 2009 · sole proprietor
Practice
- Address
- 310 W Losey St
Scott Afb, IL 62225 - Phone
- (618) 256-8970
- Organisation at this address
- Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air ForceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 113
Registry record
- Primary taxonomy
- Independent Duty Medical Technicians
1710I1003X
- Sex
- Male
- Record last updated
- 2009-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois