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Individual
DR. MARK T WILT
Active
Individual
DR. MARK T WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103301014
VA
213E00000X
Podiatrist
10402
WV
213E00000X
Podiatrist
36-003486
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301014
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
10402
WV
Other
Enumeration date
02/28/2008
Last updated
10/01/2009
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