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Contact Information

JOSEPH L WILDE, MD
4038 TIMBERLINE RD.
SUITE 100
FORT COLLINS, CO80525
 Phone: 970-673-1155
 Fax: 970-673-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JOSEPH L WILDE · (Male)

NPI Number 1972521581
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 06/07/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 55030
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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