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Dr. Haley Marie Wild, DO
Obstetrics & Gynecology Physician in Grand Rapids, Michigan
NPI 1497495790

Haley Marie Wild is a Obstetrics & Gynecology Physician based in Grand Rapids, MI. Haley Marie Wild practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Haley Marie Wild is 1497495790 and holds a License No. (Michigan).

The current practice location address for Haley Marie Wild is 330 Barclay Ave Ne Ste 304, Grand Rapids, MI and can be reached out via phone at 616-391-2160 and via fax at 616-391-2683.

Location: 330 Barclay Ave Ne Ste 304, Grand Rapids, MI, 49503-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497495790
Provider Name
Haley Marie Wild
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
330 Barclay Ave Ne Ste 304, Grand Rapids, MI, 49503-2527
Phone Number
616-391-2160
Fax Number
616-391-2683
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Barclay Ave Ne Ste 304
City
Grand Rapids
State
Michigan
Zip
49503-2527
Phone Number
616-391-2160
Fax Number
616-391-2683
person
Provider Business Mailing Address Details
Address
330 Barclay Ave Ne Ste 304
City
Grand Rapids
State
Michigan
Zip
49503-2527
Phone Number
616-391-2160
Fax Number
616-391-2683
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5151015555 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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.
(Michigan)
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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