Michael R Wild D.C.

NPI 1477623858 - Chiropractor - 111N00000X

NPI Details
NPI 1477623858
Gender Male
Enumeration Date 11/09/2006
Last Updated 06/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3460 LAUDERDALE DR
RICHMOND VA, 23233-7529, US
Phone (804) 360-2273
Fax (804) 360-7996
Business Location
3460 LAUDERDALE DR
RICHMOND VA, 23233-7529, US
Phone (804) 360-2273
Fax (804) 360-7996
Toxanomy
Taxonomy Code 111N00000X
License State Virginia
License Number 0104001090
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According to our database, Dr. Michael R Wild D.C. NPI is 1477623858, taxonomy code is 111N00000X and license number is 0104001090, license state is located at Virginia. Michael R Wild D.C. physically located at 3460 Lauderdale Dr, Richmond VA, 23233-7529. NPI Number Michael R Wild D.C. has the Individual type.

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1477623858 NPI number is provided on an as is basis without warranty of any kind. 1477623858 is maintained by the National Plan & Provider Enumeration System. The contents of Michael R Wild D.C. are for informational purposes only.