Mark T Wilt DPM

NPI 1053580696 - Podiatrist - 213E00000X

NPI Details
NPI 1053580696
Gender Male
Enumeration Date 02/28/2008
Last Updated 10/01/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
401 ROGERS ST
PRINCETON WV, 24740-3636, US
Phone (304) 487-9442
Fax (330) 629-9181
Business Location
PO BOX 365
PROSPERITY WV, 25909-0365, US
Phone (800) 292-3008
Fax (330) 629-9181
Toxanomy
Taxonomy Code 213E00000X
License State Ohio
License Number 36-003486
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According to our database, Dr. Mark T Wilt DPM NPI is 1053580696, taxonomy code is 213E00000X and license number is 36-003486, license state is located at Ohio. Mark T Wilt DPM physically located at 401 Rogers St, Princeton WV, 24740-3636. NPI Number Mark T Wilt DPM has the Individual type.

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1053580696 NPI number is provided on an as is basis without warranty of any kind. 1053580696 is maintained by the National Plan & Provider Enumeration System. The contents of Mark T Wilt DPM are for informational purposes only.