Individual
DR. WILLIAM ANTHONY WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11318 GUM POINT RD, BERLIN, MD 21811-3172
(443) 397-4167
Mailing address
11318 GUM POINT RD, BERLIN, MD 21811-3172
(443) 397-4167
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C2-0013043
DE
207P00000X
Emergency Medicine Physician
Primary
H0066476
MD
207P00000X
Emergency Medicine Physician
OS010886L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07645
HEALTH PARTNERS
PA
05
—
101038293001
—
PA
05
—
101038293002
—
PA
05
—
101038293003
—
PA
01
—
1010389293-01
AMERICHOICE FRANKFORD
PA
01
—
1010389293-02
AMERICHOICE BUCKS
PA
01
—
1010389293-03
AMERICHOICE TORRESDALE
PA
01
—
1356562
CIGNA
PA
01
—
1361074
HIGHMARK BLUE SHIELD
PA
01
—
20045168
AMERIHEALTH MERCY
PA
01
—
2053335000
KEYSTONE IBC
PA
01
—
30017165
KEYSTONE MERCY
PA
01
—
452729
AETNA
PA
Enumeration date
06/15/2006
Last updated
12/16/2020
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