Most Relevant Information
Provider Data
| NPI Number: | 1003661398 |
| Provider Name: | TORRY WILD |
| Entity Type: | Individual |
| Taxonomy Code: | 174H00000X |
| Specialty: | Health Educator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2024 |
| Last Updated: | 04/19/2024 |
Provider Practice Location
1115 3RD ST
MUSKEGON
MI
494412170
Practice Location Phone/Fax
| Phone: | 2317229622 |
| Fax: |
Provider Mailing Location
1115 3RD ST
MUSKEGON
MI
494412170
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |