Individual
MICHAEL G WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
5725 ERINDALE DR STE 200, COLORADO SPRINGS, CO 80918-1984
(719) 593-0005
(719) 593-0282
Mailing address
5725 ERINDALE DR STE 200, COLORADO SPRINGS, CO 80918-1984
(719) 593-0005
(719) 593-0282
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
CO5131
CO
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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