Organization
PETER A WIGGIN DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER AUSTIN WIGGIN D.P.M. (OWNER)
(419) 756-1875
Entity
Organization
Contact information
Practice address
74 WOOD ST, MANSFIELD, OH 44903-2211
(419) 756-1875
(419) 525-3264
Mailing address
74 WOOD ST, MANSFIELD, OH 44903-2211
(419) 756-1875
(419) 525-3264
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634719
—
OH
05
—
2841321
—
OH
Enumeration date
10/04/2006
Last updated
03/26/2009
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