CAROL WILDER MD INC
Ambulatory Health at Mohouli St, Hilo, HI

License number
Hawaii 10509
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. CAROL WILDER MD
Title: PRESIDENT
Phone: (808) 345-6976
Address
Address
45 Mohouli St, Hilo, HI 96720
National Provider ID: 1417195488
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAROL WILDER, MD, INC

Hilo, HI

Status:
Inactive
Industry:
Physician Office, Medical Doctor's Office
Doing business as:
CAROL WILDER, MD, INC
Registration:
Oct 20, 2008
Addresses:
PO Box 11148, Hilo, HI 96721 (Mailing)
45 Mohouli St, Hilo, HI 96720
State ID:
224245 D1
Business type:
Domestic Profit Corporation
President, Principal:
Carol Wilder President, Principal, inactive
Agent:
Carol Wilder Md,82 Puuhonu Pl, Hilo, HI 96720 (Physical)

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