Individual
DR. MICHAEL TODD WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5959 SHALLOWFORD RD STE 213, CHATTANOOGA, TN 37421-2215
(423) 760-3668
(423) 760-3660
Mailing address
5959 SHALLOWFORD RD STE 213, CHATTANOOGA, TN 37421-2215
(423) 760-3668
(423) 760-3660
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD001113
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
663
TN
Other
Enumeration date
10/10/2006
Last updated
09/24/2020
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