MICHAEL R WILD

KOKOMO, IN
NPI1437110541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: IN  01046415A)
Enumeration Date2006-03-29
Last Update Date2011-01-25
Business Address
-- MICHAEL R WILD MD
3433 S LAFOUNTAIN ST
KOKOMO, IN 46902-3801
Phone number: 765-453-3777
Mailing Address
-- MICHAEL R WILD MD
3433 S LAFOUNTAIN ST
KOKOMO, IN 46902-3801
Phone number: 765-453-3777
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