Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAMERON WILDE
ActiveSports Medicine (EM) · ANN ARBOR, MI
Registration Details
- NPI Number
- 1750143863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2024 (2.2415143572212 yrs)
- Last Updated
- Jan 24, 2024
- License
-
2601002974 (MI)
Practice Information
- Address
-
1000 S STATE STANN ARBOR, MI, 481092201Browse MI providers · Browse ZIP 48109
- Phone
- 7347632958
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.