Doctor Name: | DR. STEPHANIE KRESCH WILDER |
NPI Number: | 1114114550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 6360465-1205 |
Business Practice Address: | 401east Chestnut Street Ste 410 Louisville, KY - 40202 |
Business Phone Number: | 5025880329 |
Business Fax Number: | 5025880326 |
Mailing Address: | Po Box 909, LOUISVILLE |
State: | KY |
Postal Code: | 402010909 |
Phone Number: | 5025880329 |
Fax Number: | 5025880326 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 6360465-1205 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |