Michael R Wild, MD

NPI #1437110541 in Kokomo, Indiana

Provider Information

NPI Number: 1437110541
Entity Type: Individual
Name: Michael R Wild, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Mar 29, 2006
Last Updated: Jan 25, 2011

Practice Location

Address: 3433 S LAFOUNTAIN ST
City: Kokomo
State: Indiana
ZIP Code: 46902-3801
Phone: (765) 453-3777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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