# WILDER CHIROPRACTIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Chiropractic East Madison Chiropractic West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457410458
- **Authorized official:** DR. JEFFREY M. WILDER DC (PRESIDENT)
- **Authorized official phone:** (608) 243-1234

## Contact information

- **Practice address:** 1702 EAGAN RD, MADISON, WI 53704-3702
- **Practice address phone:** (608) 243-1234
- **Practice address fax:** (608) 243-3186
- **Mailing address:** 1702 EAGAN RD, MADISON, WI 53704-3702
- **Mailing address phone:** (608) 243-1234
- **Mailing address fax:** (608) 243-3186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1707 | WI | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 04/20/2008