DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL WILD, MD

Active

MICHAEL WILD, MD is a Family Medicine healthcare provider located in STANSBURY PARK, Utah. NPI 1225689748 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · STANSBURY PARK, UT

Registration Details

NPI Number
1225689748
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2019 (6.8580487213754 yrs)
Last Updated
Nov 23, 2023
Licenses
RL16538 (ND)
7546357-1205 (UT)
7546357-1205 (UT)

Practice Information

Address
220 MILLPOND STE 100
STANSBURY PARK, UT, 840749760
Browse UT providers · Browse ZIP 84074
Phone
4358433000
Fax
4358433015
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
General Practice
Additional Specialty
Family Medicine

Other Family Medicine Providers in STANSBURY PARK, UT

Name Credential NPI
HILARY S. SEIBERT DO 1275623894
DR. DAVID P BOWMAN D.O. 1053486076
DR. CHRISTY BOU FADEL MD (MBBS) 1275415309
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.