Mr. William J Wilder
Dermatologist
12 Professional Drive
Houma
, Louisiana 70360
Mr. William J Wilder
Dermatologist
12 Professional Drive
Houma
, Louisiana 70360
(985) 876-3670
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Mr. William J Wilder
- 12 Professional Drive
- Houma, LA
- Zip : 70360
- Fax : (985) 876-3670
- Phone : (985) 868-1810
Second Address
- Mr. William J Wilder
- 12 Professional Drive
- Houma, LA
- Zip : 70360
- Fax : (985) 876-3670
- Phone : (985) 868-1810
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 011220 | LA |
National Provider Identifier
| NPI | 1053374884 |
|---|---|
| Provider Name | Mr. William J Wilder |
| First Address | Houma, LA 70360 |
| Second Address | Houma, LA 70360 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2006 |
| Last Update Date | 27/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 119241 | (05) | LA |
| B60666 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.