WALLACE WILDER, M.D.
Pediatrics
Active
Individual
NPI: 1922021518
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 3655 (MT) |
Frequently Asked Questions
NPI 1922021518 is the National Provider Identifier for WALLACE WILDER, M.D., a Pediatrics provider located in Kalispell, MT. This NPI was enumerated on July 25, 2006.
WALLACE WILDER, M.D. practices at 210 SUNNYVIEW LN, SUITE 103, Kalispell, MT 59901.
Quick Facts
- NPI
- 1922021518
- Type
- Individual
- Enumerated
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
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