Wild, Trevor T

Wild, Trevor T is an individual health care provider with primary practice located at 12129 University Ave Ste 100 , Clive IA 50325-8298. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Wild, Trevor T can be contacted via phone (513) 400-3550.

Contact Information

Primary practice address
12129 University Ave Ste 100 Clive IA 50325-8298
Phone: (513) 400-3550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X DR.0062223 Colorado
Allopathic & Osteopathic Physicians / Urology 208800000X MD-44953 Iowa

Profile Details

NPI number 1881969111
LBN Legal business name Wild, Trevor T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Feb 27th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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