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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X0104001090 (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.

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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.