| Dr Michael Bernard Wilder, DC | |
|
144 Stony Point Rd, Santa Rosa, CA 95401-4122 | |
| (707) 521-4685 | |
| (707) 526-1016 |
| Full Name | Dr Michael Bernard Wilder |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 3 Years |
| Location | 144 Stony Point Rd, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033286042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC28603 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoma County Indian Health Project Inc | 2961491238 | 22 |
| Provider Name | Sonoma County Indian Health Project Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265457980 PECOS PAC ID: 2961491238 Enrollment ID: O20040511000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Bernard Wilder, DC 144 Stony Point Rd, Santa Rosa, CA 95401-4122 Ph: (707) 521-4500 | Dr Michael Bernard Wilder, DC 144 Stony Point Rd, Santa Rosa, CA 95401-4122 Ph: (707) 521-4685 |
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