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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE S. WILDER MD

Active Organization

WALLACE S. WILDER MD is a Primary Care Clinic organization located in KALISPELL, Montana. NPI 1659431013 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · KALISPELL, MT

Registration Details

NPI Number
1659431013
Provider Type
Organization
NPI Issued
Dec 8, 2006 (19.703937957027 yrs)
Last Updated
Aug 15, 2011
License
3655 (MT)

Practice Information

Address
210 SUNNYVIEW LN
SUITE 103
KALISPELL, MT, 599013135
Browse MT providers · Browse ZIP 59901
Phone
4067528300
Fax
4067523542
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in KALISPELL, MT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.