Search › Missouri › 2255A2300X
Benjamin Wildman, MAT, ATC
NPI 1487155420 · on the registry since 2018 · sole proprietor
Practice
- Address
- 31 Sunnen Dr Apt 345
Maplewood, MO 63143 - Phone
- (847) 902-8604
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-02
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 Missouri