NPI 1437110541

Michael R Wild, MD

Practitioner Ophthalmology Physician Kokomo, IN

Practice location

Address: 3433 S Lafountain St, Kokomo, IN 46902-3801
Phone: (765) 453-3777
Fax: (765) 453-6577

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 01046415A (IN)

Other Ophthalmology providers in Indiana →

Registry record

NPI: 1437110541
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2006
Record last updated: 25 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.