Wild, Donald E

Wild, Donald E is an individual health care provider with primary practice located at 5315 Elliott Dr Suite 301, Ypsilanti MI 48197-8634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wild, Donald E can be contacted via phone (734) 572-4500.

Contact Information

Primary practice address
5315 Elliott Dr Suite 301 Ypsilanti MI 48197-8634
Fax: (734) 572-4529
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301027945 Michigan

Profile Details

NPI number 1598766883
LBN Legal business name Wild, Donald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 14th, 2019 - about 7 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 1598766883 NPPES
Michigan MEDICAID 1174004

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