Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORIN Q WILDE, DPM
ActiveDR. CORIN Q WILDE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in PITTSBURG, Kansas. NPI 1285616375 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · PITTSBURG, KS
Registration Details
- NPI Number
- 1285616375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2005 (20.721440586236 yrs)
- Last Updated
- Oct 22, 2014
- Licenses
-
12-00315 (KS)2000168834 (MO)
Practice Information
- Address
-
407 E CENTENNIAL DRPITTSBURG, KS, 667626505Browse KS providers · Browse ZIP 66762
- Phone
- 6202315940
- Fax
- 6202315948
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.