Search › Wisconsin › 122300000X
Douglas Wild, DDS
NPI 1063677334 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2545 Partridge Wds. Ct.
Burlington, WI 53105 - Phone
- (262) 248-3934
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin