person
Paul Michael Wilde, PA-C,SCD
Medical Physician Assistant in Fort Leavenworth, Kansas
NPI 1558361535

Paul Michael Wilde is a Medical Physician Assistant based in Shawnee, KS and is specialized in Medical. Paul Michael Wilde practices in Fort Leavenworth, KS and has the professional credentials of PA-C,SCD. The NPI Number for Paul Michael Wilde is 1558361535 and holds a License No. 1002775 NCCPA (Kansas).

The current practice location address for Paul Michael Wilde is 550 Pope Ave, Fort Leavenworth, KS and can be reached out via phone at 913-684-6198 and via fax at 913-684-6128.

Location: 550 Pope Ave, Fort Leavenworth, KS, 66218-9147
person
Provider Profile Details
NPI Number
1558361535
Provider Name
Paul Michael Wilde
Credential
PA-C,SCD
Provider Entity Type
Individual
Gender
Male
Address
550 Pope Ave, Fort Leavenworth, KS, 66218-9147
Phone Number
913-684-6198
Fax Number
913-684-6128
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
550 Pope Ave
City
State
Zip
66027-2332
Phone Number
913-684-6198
Fax Number
913-684-6128
person
Provider Business Mailing Address Details
Address
550 Pope Ave
City
State
Zip
66027-2332
Phone Number
913-684-6198
Fax Number
913-684-6128
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1002775 NCCPA (Georgia)
Definition
Definition to come...
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