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Nicholas Charles Wild, MD
Family Medicine Physician in Manchester Center, Vermont
NPI 1144714726

Nicholas Charles Wild is a Family Medicine Physician based in Manchester Center, VT. Nicholas Charles Wild practices in Manchester Center, VT and has the professional credentials of MD. The NPI Number for Nicholas Charles Wild is 1144714726 and holds a License No. MT215504 (Vermont).

The current practice location address for Nicholas Charles Wild is 5957 Vt-7A, Manchester Center, VT and can be reached out via phone at 802-362-4440.

Location: 5957 Vt-7A, Manchester Center, VT, 05255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144714726
Provider Name
Nicholas Charles Wild
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5957 Vt-7A, Manchester Center, VT, 05255
Phone Number
802-362-4440
Fax Number
Provider Enumeration Date
06/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5957 Vt-7A
City
Manchester Center
State
Vermont
Zip
05255
Phone Number
802-362-4440
Fax Number
person
Provider Business Mailing Address Details
Address
5957 Vt-7A
City
Manchester Center
State
Vermont
Zip
05255
Phone Number
802-362-4440
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
042.0015274 (Vermont)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT215504 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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