BRIAN CHRISTOPHER WILDER

GRAND RAPIDS, MI
NPI1275983835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101022456)
Enumeration Date2016-06-15
Last Update Date2021-02-22
Business Address
BRIAN CHRISTOPHER WILDER DO
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503-2572
Phone number: 616-267-0800
Mailing Address
BRIAN CHRISTOPHER WILDER DO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: