| Wallace S. Wilder Md | |
|
210 Sunnyview Ln Suite 103 Kalispell MT 59901-3135 | |
| (406) 752-8300 | |
| (406) 752-3542 |
| Full Name | Wallace S. Wilder Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 210 Sunnyview Ln, Kalispell, Montana |
| Authorized Official Name and Position | Trudy B. Waggener (OFFICE MANAGER) |
| Authorized Official Contact | 4067528300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace S. Wilder Md 210 Sunnyview Ln Suite 103 Kalispell MT 59901-3135 Ph: (406) 752-8300 | Wallace S. Wilder Md 210 Sunnyview Ln Suite 103 Kalispell MT 59901-3135 Ph: (406) 752-8300 |
| NPI Number | 1659431013 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659431013 | NPI | - | NPPES |
| 0032344 | Medicaid | MT | |
| 92168 | Other | MT | BCBS - MICHAEL SCHWALLER |
| 0437529 | Medicaid | MT | |
| 08110 | Other | MT | BCBS - WALLACE WILDER MD |
| 371330 | Other | MT | BCBS - VALERIE BEEBE |
| 0066495 | Medicaid | MT | |
| 95755 | Other | MT | BCBS - LYNN A. DYKSTRA MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3655 (Montana) | Primary |
Kalispell Regional Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1273 Burns Way, Kalispell, MT 59901 Phone: 406-752-8300 Fax: 406-752-3542 | |
Premise Health Of Montana Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 W Center St, Kalispell, MT 59901 Phone: 406-751-9300 Fax: 601-500-5708 | |
Ryan Chiropractic Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 690 N Meridian Rd, Ste 108, Kalispell, MT 59901 Phone: 406-755-6030 | |
Functional Medicine Associates Of Montana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Commons Loop Ste D, Kalispell, MT 59901 Phone: 406-501-6570 | |
Base Vitality Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Ponderosa Ln, Kalispell, MT 59901 Phone: 406-220-5058 | |
Glacier Neuroscience & Spine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Commons Way, Kalispell, MT 59901 Phone: 406-752-5095 Fax: 406-752-5098 | |
Kalispell Regional Med Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Sunnyview Ln Ste 105, Kalispell, MT 59901 Phone: 406-756-4727 Fax: 406-751-7570 |