# DR. ROBERT S. WILDIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073586897
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0201X | Clinical Genetics (M.D.) Physician | 042-0013813 | VT | Yes |
| 207SG0201X | Clinical Genetics (M.D.) Physician | M8801 | ID | — |
| 207SG0201X | Clinical Genetics (M.D.) Physician | MD20420 | OR | — |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 05/24/2022