Paul Michael Wilde in Fort Leavenworth - Medical
Paul Michael Wilde - NPI 1558361535
Paul Michael Wilde is a Medical in Fort Leavenworth, Kansas. Paul Michael Wilde practices all healthcare services and medical treatments related to Medical. The NPI Number for Paul Michael Wilde is 1558361535. The last update date is 2007-07-08.
Paul Michael Wilde's current location address is 550 Pope Ave, Fort Leavenworth, Kansas. You can contact this provider via phone number 9136846198 and fax number 9136846128. The mailing address for Paul Michael Wilde is 550 Pope Ave, Fort Leavenworth, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Michael Wilde |
|---|---|
| Address | 550 Pope Ave, Fort Leavenworth, Kansas |
| Phone Number | 9136846198 |
| Fax Number | 9136846128 |
| Sole Proprietor | X |
| Credentials | PA-C, SC.D |
NPI Number Detail
| NPI Number | 1558361535 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 550 Pope Ave |
|---|---|
| City | Fort Leavenworth |
| State | Kansas (KS) |
| Post Code | 660272332 |
| Phone Number | 9136846198 |
| Fax Number | 9136846128 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1002775 NCC |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Paul Michael Wilde?
The Paul Michael Wilde has been issued the NPI (National Provider Identifier) 1558361535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Paul Michael Wilde is located?
The Paul Michael Wilde is situated at the following address: 550 Pope Ave, Fort Leavenworth, KS, 660272332.
What is the Paul Michael Wilde's specialty and taxonomy code?
The Paul Michael Wilde's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did Paul Michael Wilde receive its 1558361535 assignment from the Centers for Medicare & Medicaid Services?
The Paul Michael Wilde was assigned its 1558361535 on 2005-07-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Paul Michael Wilde, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul Michael Wilde, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.