DR. Mark T Wilt, DPM

NPI #1053580696 in Princeton, West Virginia

Provider Information

NPI Number: 1053580696
Entity Type: Individual
Name: DR. Mark T Wilt, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Feb 28, 2008
Last Updated: Oct 1, 2009

Practice Location

Address: 401 ROGERS ST
City: Princeton
State: West Virginia
ZIP Code: 24740-3636
Phone: (304) 487-9442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X

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