Individual
DR. CAROLYN A WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4545 POINT FOSDICK DR # 215, GIG HARBOR, WA 98335-1700
(253) 530-8060
(253) 530-8062
Mailing address
4545 POINT FOSDICK DR # 215, GIG HARBOR, WA 98335-1700
(253) 530-8060
(253) 530-8062
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD60112482
WA
207RH0003X
Hematology & Oncology Physician
60112482
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD60112482
WA
207RX0202X
Medical Oncology Physician
MD60112482
WA
Other
Enumeration date
10/11/2005
Last updated
02/23/2021
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