Wilde, Michael C

Wilde, Michael C is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wilde, Michael C can be contacted via phone (605) 328-4973.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105
Phone: (605) 328-4973
Fax: (605) 328-1295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4888 South Dakota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4888 South Dakota

Profile Details

NPI number 1841295722
LBN Legal business name Wilde, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841295722 NPPES
South Dakota MEDICAID 6004222

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