Harper T Wildern, O.D.

NPI #1366505398 in Charlotte, Michigan

Provider Information

NPI Number: 1366505398
Entity Type: Individual
Name: Harper T Wildern, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 19, 2006
Last Updated: Mar 13, 2008

Practice Location

Address: 123 LANSING ST
City: Charlotte
State: Michigan
ZIP Code: 48813-1696
Phone: (517) 543-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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