Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE S WILDER, M.D.
Active Sole ProprietorWALLACE S WILDER, M.D. is a Pediatrics healthcare provider located in KALISPELL, Montana. NPI 1922021518 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · KALISPELL, MT
Registration Details
- NPI Number
- 1922021518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.01240574078 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3655 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 SUNNYVIEW LNSUITE 103KALISPELL, MT, 599013135Browse MT providers · Browse ZIP 59901
- Phone
- 4067528300
- Fax
- 4067523542
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in KALISPELL, MT
| Name | Credential | NPI |
|---|---|---|
| KENNETH J GRAHAM | MD | 1720069875 |
| DR. MARK JACOB SORENSEN | M.D. | 1841219193 |
| LYNN ANN DYKSTRA | M.D. | 1285654020 |
| MICHAEL ANTHONY SCHWALLER | MD | 1659474666 |
| COURTNEY L STOUT PATERSON | MD | 1205982824 |
| JENNIFER LAURA SHIPLEY | PNP | 1972752566 |
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.