Individual provider · Type 1 NPI
Corin Q. Wilde, DPM
Foot & Ankle Surgery Podiatrist · Pittsburg, KS
NPI number
1285616375
Active
Practice location
407 E Centennial Dr
Pittsburg, KS 66762-6505
Fax (620) 231-5948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 12-00315 (KS) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2000168834 (MO) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1285616375
Corin Q. Wilde, DPM's National Provider Identifier is 1285616375, issued on Nov 15, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Pittsburg, KS. The record was last updated on Oct 22, 2014.