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Contact Information

MIRIAM WILDEMAN, MD
1 HOSPITAL DR FL 3
CHARLOTTESVILLE, VA22908-2818
 Phone: 434-982-4403
 Fax: 434-924-0217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MIRIAM WILDEMAN · (Female)

NPI Number 1033405089
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2011
Last updated 08/23/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101258500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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