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Organization
WILLIAMSVILLE ORTHOPEDIC SURGERY,PC
Active
Organization
WILLIAMSVILLE ORTHOPEDIC SURGERY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R WILD MD (PRESIDENT)
(716) 631-3041
Entity
Organization
Contact information
Practice address
15 S FOREST RD, WILLIAMSVILLE, NY 14221-6425
(716) 631-3041
(716) 631-5380
Mailing address
15 S FOREST RD, WILLIAMSVILLE, NY 14221-6425
(716) 631-3041
(716) 631-5380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
137730
NY
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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