Individual
DR. DANIEL R WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 ESSJAY RD, SUITE 170A, WILLIAMSVILLE, NY 14221-5782
(716) 631-3041
(716) 631-5380
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 857-8944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
137730-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010189103
UNIVERA
NY
01
—
000508251004
HEALTH NOW
NY
01
—
0905392
INDEPENDENT HEALTH
NY
01
—
161000580
EMPIRE
NY
Enumeration date
07/20/2006
Last updated
09/21/2011
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