Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Haley Marie Wild, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497495790

Dr. Haley Marie Wild, DO is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

330 Barclay Ave NE Ste 304
Grand Rapids, MI 49503-2527
Phone: (616) 391-2160
Fax: (616) 391-2683
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Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5151015555 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1497495790
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503-2527

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