Individual
DR. DANIEL K. WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
240 SCHOOLCREST AVE, CLARE, MI 48617-1146
(989) 386-3400
(989) 386-4878
Mailing address
240 SCHOOLCREST AVE, CLARE, MI 48617-1146
(989) 386-3400
(989) 386-4878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006627
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1893563
—
MI
01
—
950C75001
BCBS
MI
Enumeration date
11/14/2006
Last updated
07/08/2007
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