MICHAEL JOHN WILD

AMHERST, NY
NPI1710390562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  7952261)
Enumeration Date2014-06-10
Last Update Date2014-06-10
Business Address
-- MICHAEL JOHN WILD MS, ATC, PES
4380 MAIN ST
AMHERST, NY 14226-3544
Phone number: 716-839-8581
Mailing Address
-- MICHAEL JOHN WILD MS, ATC, PES
5963 ROUTE 98 PO BOX 7
GREAT VALLEY, NY 14741-0007
Phone number: 716-969-7581
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