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Individual

BARTON WILLIAM WILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3770 GLENKERRY CT, PORTAGE, MI 49024-0700
(269) 329-2887
(269) 329-2805
Mailing address
5555 GLENWOOD HILLS PKWY SE STE 2, GRAND RAPIDS, MI 49512-2091
(616) 940-2662
(616) 940-1965

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301086518
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301086518
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710197579
MI
01
M91620016
UHC COMMUNITY PLAN
MI
Enumeration date
05/23/2007
Last updated
05/06/2021
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