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

Elderberry Health Foundation

Organization Family Medicine Physician · NPI 1376258467

Elderberry Health Foundation provides Family Medicine Physician services in Wilmington, Delaware. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1207 Delaware Ave #1904
Wilmington, DE 19806
Phone: (314) 788-4620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1376258467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Landon Wiedenman — Ceo · (314) 788-4620
Other names Elderberrymd
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 11, 2023
Mailing address15455 Manchester Rd #3313, Ballwin, MO 63022-5049

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