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
Provider Enumeration Date 2006-12-08
Last Updated Date 2011-08-15

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 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

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FAQs about Wallace S. Wilder Md

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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