Organization
WILDE FOOT & ANKLE CLINIC PA
Active
Other names
Southeast Kansas Foot Clinic PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORIN Q WILDE DPM (OWNER)
(620) 231-5940
Entity
Organization
Contact information
Practice address
407 E CENTENNIAL DR, PITTSBURG, KS 66762-6505
(620) 231-5940
(620) 231-5948
Mailing address
407 E CENTENNIAL DR, PITTSBURG, KS 66762-6505
(620) 231-5940
(620) 231-5948
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1200315
KS
Other
Enumeration date
04/16/2007
Last updated
05/04/2011
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