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

Dr. Susanne Gertraud Wild, MD

Individual provider Family Medicine Physician · NPI 1972627867

Dr. Susanne Gertraud Wild, MD is a Family Practice in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2004, 22 years ago. Practices with Banner - University Primary Care Physicians LLC, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
22
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 N 12th St #605
Phoenix, AZ 85006-2848
Phone: (602) 839-4567
Fax: (602) 839-2232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35547 (AZ)

Record details

NPI number1972627867
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 18, 2007
Last updated in NPPESDecember 26, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Banner - University Primary Care Physicians Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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