Individual provider · Type 1 NPI
Michael R. Wild, DC
Chiropractor · Richmond, VA
NPI number
1477623858
Active
Practice location
3460 Lauderdale Dr
Richmond, VA 23233-7529
Fax (804) 360-7996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104001090 (VA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
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About NPI 1477623858
Michael R. Wild, DC's National Provider Identifier is 1477623858, issued on Nov 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Richmond, VA. The record was last updated on Jun 19, 2008.