FREDERICK WAYNE WILD

DETROIT, MI
NPI1851221816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704270739)
Enumeration Date2026-05-21
Last Update Date2026-05-21
Business Address
FREDERICK WAYNE WILD
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
FREDERICK WAYNE WILD
51444 LAUREL OAK LN
CHESTERFIELD, MI 48047-1419
Phone number: