Wilder, Bruce

Wilder, Bruce is an individual health care provider with primary practice located at 436 Seventh Ave Suite 1050, Pittsburgh PA 15219-1826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wilder, Bruce can be contacted via phone (412) 683-6015.

Contact Information

Primary practice address
436 Seventh Ave Suite 1050 Pittsburgh PA 15219-1826
Phone: (412) 683-6015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD014650E Pennsylvania
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 19199 West Virginia

Profile Details

NPI number 1700879392
LBN Legal business name Wilder, Bruce
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Aug 13th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700879392 NPPES
Pennsylvania MEDICAID 00612050

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