IndividualActive
Barton Wild, MD
NPI 1710197579 · Interventional Pain Medicine Physician · Portage, MI
Provider details
- NPI number
- 1710197579
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301086518 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3770 Glenkerry Ct
Portage, MI 49024-0700
Phone: (269) 329-2887
Fax: (269) 329-2805
Approximate (ZIP-level) locationGet directions
Mailing address
5555 Glenwood Hills Pkwy Se Ste 2
Grand Rapids, MI 49512-2091
Additional practice locations (1)
- 105 Winston DrMarshall, MI 49068-8525Phone: (269) 781-3561Fax: (269) 781-4937
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.