Thomas Oliver Wildes in Chippewa Falls - Otolaryngology/facial Plastic Surgery

Thomas Oliver Wildes - NPI 1154393791

Thomas Oliver Wildes is a Otolaryngology/facial Plastic Surgery in Chippewa Falls, Wisconsin. Thomas Oliver Wildes practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Thomas Oliver Wildes is 1154393791. The last update date is 2011-12-02.

Thomas Oliver Wildes's current location address is 962 Parkland Dr, Chippewa Falls, Wisconsin. You can contact this provider via phone number 6083453677. The mailing address for Thomas Oliver Wildes is 962 Parkland Dr, Chippewa Falls, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Oliver Wildes
Address 962 Parkland Dr, Chippewa Falls, Wisconsin
Phone Number 6083453677
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154393791
Provider Enumeration Date 2006-02-07
Last Updated Date 2011-12-02

Provider Mailing Address Detail

Address 962 Parkland Dr
City Chippewa Falls
State Wisconsin (WI)
Post Code 547295084
Phone Number 6083453677
Fax Number

Provider's Primary Taxonomy Detail

Speciality Otolaryngology/facial Plastic Surgery
Taxonomy 207Yx0905X
Licence No 26197-020
Definition:
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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FAQs about Thomas Oliver Wildes

What is the unique identifier code issued to Thomas Oliver Wildes by the Centers for Medicare & Medicaid Services (CMS)?

The Thomas Oliver Wildes has been assigned the NPI (National Provider Identifier) 1154393791. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Thomas Oliver Wildes located?

The Thomas Oliver Wildes is located at 962 Parkland Dr, Chippewa Falls, WI 547295084.

What is the Thomas Oliver Wildes's specialty and taxonomy code?

The Thomas Oliver Wildes's specialty is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code is 207Yx0905X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154393791 to Thomas Oliver Wildes?

The Thomas Oliver Wildes received its 1154393791 assignment from the Centers for Medicare & Medicaid Services on 2006-02-07.

As of what date were the details pertaining to Thomas Oliver Wildes last refreshed?

The information related to the Thomas Oliver Wildes, including its address, specialty, and other relevant details, was last updated on 2011-12-02.

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