NPI 1881969111

Trevor T Wild, MD

Practitioner Urology Physician Clive, IA

Practice location

Address: 12129 University Ave STE 100, Clive, IA 50325-8298
Phone: (513) 400-3550
Mailing address: 12129 University Ave STE 200, Clive, IA 50325-8298

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD-44953 (IA)

Other Urology providers in Iowa →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Iowa →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence DR.0062223 (CO)

Registry record

NPI: 1881969111
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2012
Record last updated: 27 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.