institution
Wallace S. Wilder Md
Primary Care Clinic/Center in Kalispell, Montana
NPI 1659431013

Wallace S. Wilder Md is a Primary Care Clinic/Center based in Kalispell, MT and is specialized in Primary Care. Wallace S. Wilder Md practices in Kalispell, MT. The NPI Number for Wallace S. Wilder Md is 1659431013 and holds a License No. 3655 (Montana).

The current practice location address for Wallace S. Wilder Md is 210 Sunnyview Ln, Kalispell, MT and can be reached out via phone at 406-752-8300 and via fax at 406-752-3542. You can also correspond with Wallace S. Wilder Md through the mailing address at 210 SUNNYVIEW LN, KALISPELL, MT - 59901-3135 (mailing address contact number: 406-752-8300).

Location: 210 Sunnyview Ln, Kalispell, MT, 59901-3135
institution
Provider Profile Details
NPI Number
1659431013
Provider Name
Wallace S. Wilder Md
Credential
Provider Entity Type
Organization
Address
210 Sunnyview Ln, Kalispell, MT, 59901-3135
Phone Number
406-752-8300
Fax Number
406-752-3542
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0032344 05 MT
92168 01 MT BCBS - MICHAEL SCHWALLER
0437529 05 MT
08110 01 MT BCBS - WALLACE WILDER MD
371330 01 MT BCBS - VALERIE BEEBE
0066495 05 MT
95755 01 MT BCBS - LYNN A. DYKSTRA MD
institution
Provider Business Practice Location Address Details
Address
210 Sunnyview Ln
City
State
Zip
59901-3135
Phone Number
406-752-8300
Fax Number
406-752-3542
person
Provider Business Mailing Address Details
Address
210 Sunnyview Ln
City
State
Zip
59901-3135
Phone Number
406-752-8300
Fax Number
406-752-3542
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
3655 (Montana)
Definition
Definition to come...
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