Individual
THOMAS WILLIAM WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8919 PARALLEL PKWY STE 270, KANSAS CITY, KS 66112-1655
(913) 334-6800
(913) 334-0875
Mailing address
8919 PARALLEL PKWY STE 270, KANSAS CITY, KS 66112-1655
(913) 334-6800
(913) 334-0875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-28646
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370340B
—
KS
Enumeration date
05/01/2006
Last updated
12/03/2021
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