Individual
MICHAEL SCOTT WILDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 FOLLY RD, SUITE C, CHARLESTON, SC 29412-2625
(843) 406-2771
(843) 406-2789
Mailing address
418 FOLLY RD, SUITE C, CHARLESTON, SC 29412-2625
(843) 406-2771
(843) 406-2789
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24445
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
24445
SC
Other
Enumeration date
08/19/2006
Last updated
01/26/2015
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