Individual
DR. JEFFREY M. WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1702 EAGAN RD, MADISON, WI 53704-3702
(608) 243-1234
(608) 243-3186
Mailing address
1702 EAGAN RD, MADISON, WI 53704-3702
(608) 243-1234
(608) 243-3186
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
1707
WI
111NX0800X
Orthopedic Chiropractor
Primary
1707
WI
Other
Enumeration date
02/02/2006
Last updated
10/25/2010
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