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1730120312
W MITCHELL WILDER
WEST MONROE, LA
NPI
1730120312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA md018998)
Enumeration Date
2006-06-08
Last Update Date
2016-06-16
Business Address
-- W MITCHELL WILDER md
503 MCMILLAN RD RADIOLOGY DEPARTMENT
WEST MONROE, LA 71291-5327
Phone number: 318-388-2646
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Mailing Address
-- W MITCHELL WILDER md
PO BOX 1339
WEST MONROE, LA 71294-1339
Phone number: 318-388-2646
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