CHARLES R WILDER OD PC
Agencies at Harriet St, Brownstown Township, MI

License number
Michigan 4901002266
Category
Agencies
Type
Case Management
Owner
Name: DR. CHARLES ROMEO WILDER II OD
Title: PRESIDENT
Phone: (734) 782-7200
Address
Address
15401 Harriet St, Brownstown Township, MI 48174
National Provider ID: 1982996203
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES R. WILDER PC

Brownstown Township, MI

Industry:
Optometrist's Office
Doing business as:
Charles R Wilder OD PC
Registration:
Apr 7, 1988
Phone:
(734) 782-7200 (Phone)
Addresses:
15401 Harriet St, Romulus, MI 48174 (Physical)
PO Box 446, Brownstown Township, MI 48183
State ID:
344165
Business type:
Domestic Professional Service Corporation
Od,faao:
Charles R. Wilder (Od,faao)
Agent:
Charles R. Wilder, O.d

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