Paul Michael Wilde, PA-C, SC.D.
NPI #1558361535 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1558361535
- Entity Type
- Individual
- Name
- Paul Michael Wilde, PA-C, SC.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C, SC.D.
- Enumeration Date
- Jul 29, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 550 POPE AVE
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-2332
- Phone
- (913) 684-6198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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