Provider Demographics
NPI:1427196732
Name:DE MARCHI, WILHELMINA JGRIEP (MD)
Entity Type:Individual
Prefix:DR
First Name:WILHELMINA
Middle Name:JGRIEP
Last Name:DE MARCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2437 SEDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6811
Mailing Address - Country:US
Mailing Address - Phone:919-928-0161
Mailing Address - Fax:
Practice Address - Street 1:JOHN UMSTEAD HOSPITAL
Practice Address - Street 2:CHILD PSYCHIATRIC INSTITUTE
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509
Practice Address - Country:US
Practice Address - Phone:919-575-7621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA605422084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3043592Medicaid