Individual
DR. THOMAS OLIVER WILDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
962 PARKLAND DR, CHIPPEWA FALLS, WI 54729-5084
(608) 345-3677
Mailing address
962 PARKLAND DR, CHIPPEWA FALLS, WI 54729-5084
(608) 345-3677
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
26197-020
WI
Other
Enumeration date
02/07/2006
Last updated
12/02/2011
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