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Individual

JEFFREY E WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
314 GOFF MOUNTAIN ROAD SUITE 15, CROSS LANES, WV 25313
(304) 776-7990
(304) 776-7974
Mailing address
314 GOFF MOUNTAIN ROAD SUITE 15, CROSS LANES, WV 25313
(304) 776-7990
(304) 776-7974

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00354
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6420033000
WV
Enumeration date
06/06/2006
Last updated
06/17/2011
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