Individual
MEGAN LEIGH WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1907
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60558636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046880
—
WA
Enumeration date
07/11/2012
Last updated
09/21/2022
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