Individual
MICHAEL WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, DEPARTMENT OF NEUROLOGY, SALT LAKE CITY, UT 84132-0001
(801) 585-2033
Mailing address
50 N MEDICAL DR, DEPARTMENT OF NEUROLOGY, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
6353516-1205
UT
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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