Individual
DR. DONALD E WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5315 ELLIOTT DR, SUITE 301, YPSILANTI, MI 48197-8634
(734) 572-4500
(734) 572-4529
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301027945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174004
—
MI
Enumeration date
08/09/2005
Last updated
03/14/2019
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