Susanne Gertraud Wild in Phoenix - Family Medicine
Susanne Gertraud Wild - NPI 1972627867
Susanne Gertraud Wild is a Family Medicine in Phoenix, Arizona. Susanne Gertraud Wild practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susanne Gertraud Wild is 1972627867. The last update date is 2012-12-26.
Susanne Gertraud Wild's current location address is 1300 N 12th St, Phoenix, Arizona. You can contact this provider via phone number 6028394567 and fax number 6028392232. The mailing address for Susanne Gertraud Wild is 1300 N 12th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne Gertraud Wild |
|---|---|
| Address | 1300 N 12th St, Phoenix, Arizona |
| Phone Number | 6028394567 |
| Fax Number | 6028392232 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972627867 |
|---|---|
| Provider Enumeration Date | 2007-03-18 |
| Last Updated Date | 2012-12-26 |
Provider Mailing Address Detail
| Address | 1300 N 12th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850062848 |
| Phone Number | 6028394567 |
| Fax Number | 6028392232 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35547 |
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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 i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susanne Gertraud Wild by the Centers for Medicare & Medicaid Services?
The Susanne Gertraud Wild has been assigned the NPI (National Provider Identifier) 1972627867 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Susanne Gertraud Wild is physically located?
The Susanne Gertraud Wild is physically situated at the following address: 1300 N 12Th St, Phoenix, AZ, 850062848.
What is Susanne Gertraud Wild's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susanne Gertraud Wild's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When was the Susanne Gertraud Wild's 1972627867 issued?
The Susanne Gertraud Wild's 1972627867 was issued on 2007-03-18.
As of what date was the information pertaining to Susanne Gertraud Wild, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susanne Gertraud Wild, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-26.