Nicole Serra Wilder, MD
Anesthesiology in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1750402467
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1750402467
- Entity type
- Individual (NPI-1)
- Name
- Nicole Serra Wilder
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2007
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 63717 | TN | Yes |
| 207L00000X | Anesthesiology | 4301085244 | MI | |
| 207LP3000X | Anesthesiology, Pediatric Anesthesiology | 4301085244 | MI | |
| 208000000X | Pediatrics | 4301085244 | MI |
Practice location
1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone 734-936-4000
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
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