Individual
DR. BRETT JOSEPH WAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005725
IL
213E00000X
Podiatrist
1085-25
WI
213E00000X
Podiatrist
Primary
1165
MN
213E00000X
Podiatrist
DP201954
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
016005725
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
1085-25
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
DP201954
OR
Other
Enumeration date
05/01/2013
Last updated
09/19/2024
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