NPI 1053580696

Mark T Wilt, DPM

Practitioner Foot & Ankle Surgery Podiatrist Princeton, WV

Practice location

Address: 401 Rogers St, Princeton, WV 24740-3636
Phone: (304) 487-9442
Fax: (330) 629-9181
Mailing address: PO Box 365, Prosperity, WV 25909-0365

Registered specialties (5)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 0103301014 (VA)

Other Podiatrist providers in West Virginia →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 10402 (WV)

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 10402 (WV)

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 36-003486 (OH)

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 0103301014 (VA)

Registry record

NPI: 1053580696
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2008
Record last updated: 1 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.