Individual
MICAH WILDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-3323
(414) 649-5158
Mailing address
3117 S LEXINGTON BLVD, EAU CLAIRE, WI 54701-6001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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