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Individual

ROYCE W WILHELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
14 GIANT OAK DRIVE, BADEN, PA 15005
(724) 869-4104
(724) 869-4104
Mailing address
14 GIANT OAK DR, BADEN, PA 15005-2331
(412) 869-4104
(724) 869-4104

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC3049L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1047137
PA
Enumeration date
07/07/2005
Last updated
02/28/2013
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