Individual
CHRISTOPHER ALAN WILDERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 MAC AVE, EAST LANSING, MI 48823-4329
(517) 336-8317
Mailing address
240 MAC AVE, EAST LANSING, MI 48823-4329
(517) 336-8317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036975
MI
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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