Individual
DR. ROBERT S. WILDIN
Active
Individual
DR. ROBERT S. WILDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
042-0013813
VT
207SG0201X
Clinical Genetics (M.D.) Physician
M8801
ID
207SG0201X
Clinical Genetics (M.D.) Physician
MD20420
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002823400
—
ID
05
—
085514
—
OR
05
—
8140428
—
WA
Enumeration date
02/10/2006
Last updated
05/24/2022
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