Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Micah Wildes, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275472243

Micah Wildes, MD is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 649-3323
Fax: (414) 649-5158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1275472243
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address3117 S Lexington Blvd, Eau Claire, WI 54701-6001

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