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

Michael Wild, MD

Individual provider Family Medicine Physician · NPI 1225689748

Michael Wild, MD is a Family Practice in Stansbury Park, Utah. Qualified in 2018, 8 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota and Utah.

Years since qualifying
8
Licensed in
ND, UT
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

220 Millpond Ste 100
Stansbury Park, UT 84074-9760
Phone: (435) 843-3000
Fax: (435) 843-3015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7546357-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence RL16538 (ND)
General Practice Physician Taxonomy 208D00000X · Licence 7546357-1205 (UT)

Record details

NPI number1225689748
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESNovember 23, 2023
Certification dateNovember 23, 2023
Mailing address220 Millpond Ste 100, Stansbury Park, UT 84074-9760

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stansbury Park