| Doctor Name: | DR. THOMAS OLIVER WILDES |
| NPI Number: | 1154393791 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 26197-020 |
| Business Practice Address: | 962 Parkland Dr Chippewa Falls, WI - 547295084 |
| Business Phone Number: | 6083453677 |
| Business Fax Number: | |
| Mailing Address: | 962 Parkland Dr, CHIPPEWA FALLS |
| State: | WI |
| Postal Code: | 547295084 |
| Phone Number: | 6083453677 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 26197-020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |