Dr Michael Wild LLC

NPI #1053933911 in Henrico, Virginia

Provider Information

NPI Number: 1053933911
Entity Type: Organization
Organization Name: Dr Michael Wild LLC
Primary Specialty: Chiropractor
Enumeration Date: May 14, 2020
Last Updated: May 14, 2020

Practice Location

Address: 10431 PATTERSON AVE
City: Henrico
State: Virginia
ZIP Code: 23238-5101
Phone: (804) 651-2247

Authorized Official

Name: DR. MICHAEL R WILD, DC
Title: OWNER
Phone: (804) 651-2247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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