Holly Jo Wyder M.D.

NPI 1093997488 - Internal Medicine - 207R00000X

NPI Details
NPI 1093997488
Gender Female
Enumeration Date 11/28/2007
Last Updated 04/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4800 FREDERICKSBURG RD
SUITE 127
SAN ANTONIO TX, 78229-3628, US
Phone (210) 733-5072
Fax (210) 733-8649
Business Location
PO BOX 1239
TROY MI, 48099-1239, US
Phone (248) 824-6600
Fax (248) 324-1477
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number M8441
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According to our database, Holly Jo Wyder M.D. NPI is 1093997488, taxonomy code is 207R00000X and license number is M8441, license state is located at Texas. Holly Jo Wyder M.D. physically located at 4800 Fredericksburg Rd, San Antonio TX, 78229-3628. NPI Number Holly Jo Wyder M.D. has the Individual type.

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1093997488 NPI number is provided on an as is basis without warranty of any kind. 1093997488 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Jo Wyder M.D. are for informational purposes only.