Individual
DR. DAVID MICHAEL WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
11150 FAIRFAX BLVD, SUITE 550, FAIRFAX, VA 22030-5066
(703) 934-0621
Mailing address
5912 OAKLAND PARK DR, BURKE, VA 22015-2441
(703) 764-8057
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0102201544
VA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0102201544
VA
Other
Enumeration date
05/23/2006
Last updated
08/22/2008
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