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Organization
DR MICHAEL WILD LLC
Active
Organization
DR MICHAEL WILD LLC
Active
Other names
Wild Chiropractic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R WILD DC (OWNER)
(804) 651-2247
Entity
Organization
Contact information
Practice address
10431 PATTERSON AVE, HENRICO, VA 23238-5101
(804) 651-2247
Mailing address
5528 RIVERSIDE HEIGHTS WAY, RICHMOND, VA 23225-2477
(804) 651-2247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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