Search › Wisconsin › 152W00000X
Randy Wild, O.D
NPI 1891812749 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1111 Maple St
Neenah, WI 54956 - Phone
- (920) 722-7411
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
152WP0200X
152WS0006X
152WV0400X
152WX0102X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-06
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