Barton William Wild in Grand Rapids - Pain Medicine

Barton William Wild - NPI 1710197579

Barton William Wild is a Pain Medicine in Grand Rapids, Michigan. Barton William Wild practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Barton William Wild is 1710197579. The last update date is 2021-05-06.

Barton William Wild's current location address is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. You can contact this provider via phone number 6169402662 and fax number 6169401965. The mailing address for Barton William Wild is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Barton William Wild
Address 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan
Phone Number 6169402662
Fax Number 6169401965
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710197579
Provider Enumeration Date 2007-05-23
Last Updated Date 2021-05-06

Provider Mailing Address Detail

Address 5555 Glenwood Hills Pkwy Se Ste 2
City Grand Rapids
State Michigan (MI)
Post Code 495122091
Phone Number 6169402662
Fax Number 6169401965

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 207Lp2900X
Licence No 4301086518
Definition:
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1710197579 MI --
M91620016 MI UHC COMMUNITY PLAN

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FAQs about Barton William Wild

What is the unique 10-digit identifier code issued to Barton William Wild by the Centers for Medicare & Medicaid Services?

The Barton William Wild has been assigned the NPI (National Provider Identifier) 1710197579 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Barton William Wild is located?

The Barton William Wild is situated at the following address: 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI, 495122091.

What is the Barton William Wild's specialty and taxonomy code?

The Barton William Wild's specialty is Pain Medicine, and the corresponding taxonomy code is 207Lp2900X.

On what date did the Barton William Wild receive the assignment of its 1710197579 from the Centers for Medicare & Medicaid Services?

The Barton William Wild was issued its 1710197579 by the Centers for Medicare & Medicaid Services on 2007-05-23.

As of what date were the details pertaining to Barton William Wild last refreshed?

The information related to the Barton William Wild, including its address, specialty, and other relevant details, was last updated on 2021-05-06.

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