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Michael Wild, MD
Family Medicine Physician in Stansbury Park, Utah
NPI 1225689748

Michael Wild is a Family Medicine Physician based in Stansbury Park, UT. Michael Wild practices in Stansbury Park, UT and has the professional credentials of MD. The NPI Number for Michael Wild is 1225689748 and holds a License No. RL16538 (Utah).

The current practice location address for Michael Wild is 220 Millpond Ste 100, Stansbury Park, UT and can be reached out via phone at 435-843-3000 and via fax at 435-843-3015.

Location: 220 Millpond Ste 100, Stansbury Park, UT, 84074-9760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225689748
Provider Name
Michael Wild
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
220 Millpond Ste 100, Stansbury Park, UT, 84074-9760
Phone Number
435-843-3000
Fax Number
435-843-3015
Provider Enumeration Date
09/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 Millpond Ste 100
City
Stansbury Park
State
Utah
Zip
84074-9760
Phone Number
435-843-3000
Fax Number
435-843-3015
person
Provider Business Mailing Address Details
Address
220 Millpond Ste 100
City
Stansbury Park
State
Utah
Zip
84074-9760
Phone Number
435-843-3000
Fax Number
435-843-3015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
7546357-1205 (Utah)
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
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
RL16538 (North Dakota)
Definition
Definition to come...
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