Individual
DR. PETER AUSTIN WIGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
36-002358W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634719
—
OH
Enumeration date
03/02/2006
Last updated
03/26/2009
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