Charles R Wilder Od PC

NPI #1982996203 in Romulus, Michigan

Provider Information

NPI Number: 1982996203
Entity Type: Organization
Organization Name: Charles R Wilder Od PC
Primary Specialty: Case Management
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 15401 HARRIET ST
City: Romulus
State: Michigan
ZIP Code: 48174-3069
Phone: (734) 782-7200

Authorized Official

Name: DR. CHARLES ROMEO WILDER II, OD
Title: PRESIDENT
Phone: (734) 782-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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