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1922021518
WALLACE S WILDER
KALISPELL, MT
NPI
1922021518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MT 3655)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- WALLACE S WILDER M.D.
210 SUNNYVIEW LN SUITE 103
KALISPELL, MT 59901-3135
Phone number: 406-752-8300
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Mailing Address
-- WALLACE S WILDER M.D.
210 SUNNYVIEW LN SUITE 103
KALISPELL, MT 59901-3135
Phone number: 406-752-8300
Copy
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