Individual
AZARHIA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 N MAYFAIR RD STE 230, WAUWATOSA, WI 53226-2263
(262) 692-2117
Mailing address
2222 N MAYFAIR RD STE 230, WAUWATOSA, WI 53226-2263
(262) 692-2117
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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