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Trevor T Wild, MD
Urology Physician in Clive, Iowa
NPI 1881969111

Trevor T Wild is a Urology Physician based in Clive, IA. Trevor T Wild practices in Clive, IA and has the professional credentials of MD. The NPI Number for Trevor T Wild is 1881969111 and holds a License No. (Iowa).

The current practice location address for Trevor T Wild is 12129 University Ave Ste 100, Clive, IA and can be reached out via phone at 513-400-3550. You can also correspond with Trevor T Wild through the mailing address at 12129 UNIVERSITY AVE STE 200, CLIVE, IA - 50325-8298 (mailing address contact number: 515-400-3550).

Location: 12129 University Ave Ste 100, Clive, IA, 50325-8298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881969111
Provider Name
Trevor T Wild
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12129 University Ave Ste 100, Clive, IA, 50325-8298
Phone Number
513-400-3550
Fax Number
Provider Enumeration Date
03/20/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
12129 University Ave Ste 100
City
Clive
State
Iowa
Zip
50325-8298
Phone Number
513-400-3550
Fax Number
person
Provider Business Mailing Address Details
Address
12129 University Ave Ste 200
City
Clive
State
Iowa
Zip
50325-8298
Phone Number
515-400-3550
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
DR.0062223 (Colorado)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
()
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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