Individual
DR. CODY WILFINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(773) 871-6138
Mailing address
20036 WOODBRIDGE DR, MACOMB, MI 48044-5732
(586) 610-4094
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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