Dr. Thomas Oliver Wildes
Otolaryngology/Facial Plastic Surgery
962 Parkland Dr
Chippewa Falls
, Wisconsin 54729-5084
Dr. Thomas Oliver Wildes
Otolaryngology/Facial Plastic Surgery
962 Parkland Dr
Chippewa Falls
, Wisconsin 54729-5084
(608) 345-3677
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Thomas Oliver Wildes
- 962 Parkland Dr
- Chippewa Falls, WI
- Zip : 54729-5084
- Phone : (608) 345-3677
Second Address
- Dr. Thomas Oliver Wildes
- 962 Parkland Dr
- Chippewa Falls, WI
- Zip : 54729-5084
- Phone : (608) 345-3677
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 26197-020 | WI |
National Provider Identifier
| NPI | 1154393791 |
|---|---|
| Provider Name | Dr. Thomas Oliver Wildes |
| First Address | Chippewa Falls, WI 54729-5084 |
| Second Address | Chippewa Falls, WI 54729-5084 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 02/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A45134 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.