Organization
WILDERN DURABLE SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LARSON WILDERN PHARM D (OWNER)
(517) 543-0978
Entity
Organization
Contact information
Practice address
201 S COCHRAN AVE, CHARLOTTE, MI 48813-1550
(517) 543-0978
(517) 541-1548
Mailing address
201 S COCHRAN AVE, CHARLOTTE, MI 48813-1550
(517) 543-0978
(517) 541-1548
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
01/26/2010
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