National Provider Identifier
James E Wild, M.D.
James E Wild, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Gowanda, NY and a listed phone number of (716) 241-7067.
Profile Overview
- NPI
- 1437140985
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- November 03, 2005
- Last Updated
- August 31, 2023
Practice Location
- 1 School St
- Suite 107
- Gowanda, NY 14070-1133
Phone: (716) 241-7067
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1437140985
- Entity Type
- Individual
- Last Name
- Wild
- First Name
- James
- Middle Name
- E
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1 School St
- Mailing Address Line 2
- Suite 107
- Mailing City
- Gowanda
- Mailing State
- NY
- Mailing ZIP Code
- 14070-1133
- Mailing Country
- US
- Mailing Phone
- (716) 241-7067
- Mailing Fax
- (833) 464-5024
- Practice Street Address
- 1 School St
- Practice Address Line 2
- Suite 107
- Practice City
- Gowanda
- Practice State
- NY
- Practice ZIP Code
- 14070-1133
- Practice Country
- US
- Practice Phone
- (716) 241-7067
- Practice Fax
- (833) 464-5024
- Enumeration Date
- November 03, 2005
- Last Updated
- August 31, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01028606 (NY)