Wallace S. Wilder, M.D.

Pediatrics Physician · Kalispell, MT

Individual Active NPI

NPI number 1922021518

Practice location

210 Sunnyview Ln
Suite 103
Kalispell, MT 59901-3135
Phone
(406) 752-8300
Fax
(406) 752-3542

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NPI record

NPI
1922021518
Entity type
Individual (Type 1)
Enumeration date
July 25, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 3655 MT

About Dr. Wilder

Wallace S. Wilder, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 210 Sunnyview Ln, Suite 103, Kalispell, MT 59901-3135. The NPI number 1922021518 was assigned on July 25, 2006 and the record was last updated on July 8, 2007.

Dr. Wilder lists a license in the registry: #3655 (MT) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wallace S. Wilder, M.D.?

The NPI number is 1922021518.

What is the phone number of Dr. Wilder?

The phone number listed for the practice location is (406) 752-8300.

Where is Dr. Wilder located?

210 Sunnyview Ln, Suite 103, Kalispell, MT 59901-3135.

What is the taxonomy code for Dr. Wilder?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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