Individual
CHRISTOHER WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEDORTHIST
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
3804
OR
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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