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1275983835
BRIAN CHRISTOPHER WILDER
GRAND RAPIDS, MI
NPI
1275983835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101022456)
Enumeration Date
2016-06-15
Last Update Date
2021-02-22
Business Address
BRIAN CHRISTOPHER WILDER DO
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503-2572
Phone number: 616-267-0800
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Mailing Address
BRIAN CHRISTOPHER WILDER DO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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