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Search › Utah › 207Q00000X

Michael Wild, MD

NPI 1225689748 · on the registry since 2019

Practice

Address
220 Millpond Ste 100
Stansbury Park, UT 84074
Phone
(435) 843-3000
Fax
(435) 843-3015
Organisation at this address
University Of Utah
Stansbury Pediatric Dentistry
Creek Capital Stansbury Park Llc
University Of Utah Hospitals And Clinics
Stansbury Pediatric Dentistry And Orthodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
208D00000X
Licence states on file
ND, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah