Individual
CHRISTOPHER D. WILDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3509
(410) 350-3511
Mailing address
1266 VAN CAMP CT, ANNAPOLIS, MD 21409-7505
(410) 693-6466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002488
MD
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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