Organization · Type 2 NPI

Wallace S. Wilder MD

Primary Care Clinic/Center · Kalispell, MT

NPI number 1659431013 Active

Practice location

210 Sunnyview Ln, Suite 103
Kalispell, MT 59901-3135

Call (406) 752-8300 Map

Fax (406) 752-3542

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X3655 (MT)

Primary Care Clinic/Center: Definition to come...

10 other providers at this address

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About NPI 1659431013

Wallace S. Wilder MD's National Provider Identifier is 1659431013, issued on Dec 8, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Kalispell, MT. The record was last updated on Aug 15, 2011.