Wallace S. Wilder Md in Kalispell - Primary Care
Wallace S. Wilder Md - NPI 1659431013
Wallace S. Wilder Md is a Primary Care in Kalispell, Montana. Wallace S. Wilder Md practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Wallace S. Wilder Md is 1659431013. The last update date is 2011-08-15.
Wallace S. Wilder Md'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 Md is 210 Sunnyview Ln, Kalispell, Montana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Wallace S. Wilder Md |
---|---|
Address | 210 Sunnyview Ln, Kalispell, Montana |
Phone Number | 4067528300 |
Fax Number | 4067523542 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
---|---|
Authorized Official Name | Waggener B. Trudy |
Telephone Number | 4067528300 |
NPI Number Detail
NPI Number | 1659431013 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2011-08-15 |
Provider Mailing Address Detail
Address | 210 Sunnyview Ln |
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City | Kalispell |
State | Montana (MT) |
Post Code | 599013135 |
Phone Number | 4067528300 |
Fax Number | 4067523542 |
Provider's Primary Taxonomy Detail
Speciality | Primary Care |
---|---|
Taxonomy | 261Qp2300X |
Licence No | 3655 |
Definition: Serves as the first point of contact for comprehensive healthcare services. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
32344 | MT | -- | |
92168 | MT | BCBS - MICHAEL SCHWALLER | |
437529 | MT | -- | |
8110 | MT | BCBS - WALLACE WILDER MD | |
371330 | MT | BCBS - VALERIE BEEBE | |
66495 | MT | -- | |
95755 | MT | BCBS - LYNN A. DYKSTRA MD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wallace S. Wilder Md by the Centers for Medicare & Medicaid Services?
The Wallace S. Wilder Md has been assigned the NPI (National Provider Identifier) 1659431013 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wallace S. Wilder Md?
The Wallace S. Wilder Md is physically situated at 210 Sunnyview Ln, in the city of Kalispell, state of MT, with the postal code 599013135.
What is Wallace S. Wilder Md's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wallace S. Wilder Md is Primary Care, and the taxonomy code that categorizes this field of expertise is 261Qp2300X.
On what date was the 1659431013 assigned to Wallace S. Wilder Md?
The Wallace S. Wilder Md was issued its 1659431013 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Wallace S. Wilder Md's details last updated?
The information pertaining to the Wallace S. Wilder Md, including its address, specialty, and other details, was most recently updated on 2011-08-15.
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