Individual
DR. ROBERT S. WILDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
PO BOX 1063, BURLINGTON, VT 05402-1063
(802) 847-0000
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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