Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin David Wildemann, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235636879

Justin David Wildemann, MD is a Student in an Organized Health Care Education/Training Program in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1029 S Trimble Rd
Mansfield, OH 44906-3427
Phone: (419) 522-3341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 57.246367 (OH)

Record details

NPI number1235636879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

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