MACKENZIE WILD

FARGO, ND
NPI1154162402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: ND  RL21222)
Enumeration Date2024-06-03
Last Update Date2024-06-03
Business Address
MACKENZIE WILD MD
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-417-1333
Mailing Address
MACKENZIE WILD MD
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: