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Individual
DR. JEFFREY M. WILDER
Active
Individual
DR. JEFFREY M. WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
1707
WI
111NX0800X
Orthopedic Chiropractor
Primary
1707
WI
Other
Enumeration date
02/02/2006
Last updated
10/25/2010
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