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Female

Johanna M. Wilde MD

Emergency Medicine Physician in New Orleans, LA(View on Map)

Full Name

Johanna Moon Wilde MD

NPI Number

1194045583

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/08/2010

Specialties

(Taxonomies)

Name

Emergency Medicine Physician

Code

207P00000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

MD.205810

Contact
Information

Purpose

Mailing
Location

Address

1401 FOUCHER ST
727 1/2 HENRY CLAY AVE

City

New Orleans
New Orleans

State

LA
LA

Postal Code

70115-3515
70118-5819

Country

US
US

Telephone Number

(504) 897-7011
(985) 320-5467

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/02/2013

Provider Address

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