Wallace S Wilder is a Pediatrics in Kalispell, Montana. Wallace S Wilder practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Wallace S Wilder is 1922021518. The last update date is 2007-07-08.
Wallace S Wilder's current location address is 210 Sunnyview Ln, Kalispell, Montana. You can contact this provider via phone number 4067528300 and fax number 4067523542. The mailing address for Wallace S Wilder is 210 Sunnyview Ln, Kalispell, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace S Wilder |
|---|---|
| Address | 210 Sunnyview Ln, Kalispell, Montana |
| Phone Number | 4067528300 |
| Fax Number | 4067523542 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922021518 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 Sunnyview Ln |
|---|---|
| City | Kalispell |
| State | Montana (MT) |
| Post Code | 599013135 |
| Phone Number | 4067528300 |
| Fax Number | 4067523542 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 3655 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32344 | MT | -- | |
| 8110 | MT | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wallace S Wilder by the Centers for Medicare & Medicaid Services?
The Wallace S Wilder has been assigned the NPI (National Provider Identifier) 1922021518 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Wallace S Wilder's facilities are situated?
The facilities of Wallace S Wilder are physically located at the following address: 210 Sunnyview Ln, Kalispell, MT, 599013135.
What is Wallace S Wilder's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wallace S Wilder's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922021518 to Wallace S Wilder?
The Wallace S Wilder received its 1922021518 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date was the information regarding Wallace S Wilder, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wallace S Wilder, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.