Individual
GERALD WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
28800 TELEGRAPH RD, SOUTHFIELD, MI 48034-1950
(248) 304-9500
(248) 304-9565
Mailing address
28800 TELEGRAPH RD, SOUTHFIELD, MI 48034-1950
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
411200
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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