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Individual

MICHAEL JAMES WILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
895 SW 30TH AVE, SUITE 101, POMPANO BEACH, FL 33069-4887
(800) 330-6770
(954) 633-3217
Mailing address
7111 FAIRWAY DRIVE, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(800) 330-6565
(561) 712-7349

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
10837
NV
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
ME99450
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
10837
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100505037
NV
Enumeration date
08/12/2006
Last updated
07/01/2010
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