Wildeman, Desiree
Wildeman, Desiree is an individual health care provider with primary practice located at 3060 Frontier Way , Fargo ND 58104-8909. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wildeman, Desiree can be contacted via phone (701) 232-2340.Contact Information
Primary practice address
3060 Frontier Way
Fargo ND 58104-8909
Phone: (701) 232-2340
Fax: (701) 232-2330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 1221 | North Dakota |
Profile Details
| NPI number | 1205100203 |
|---|---|
| LBN Legal business name | Wildeman, Desiree |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2012 |
| Last updated | Mar 8th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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