IndividualActive
Mark Wilt, DPM
NPI 1053580696 · Foot & Ankle Surgery Podiatrist · Princeton, WV
Provider details
- NPI number
- 1053580696
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 10402 (WV)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
401 Rogers St
Princeton, WV 24740-3636
Phone: (304) 487-9442
Fax: (330) 629-9181
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 365
Prosperity, WV 25909-0365
Registry dates
- Enumerated
- 2008-02-28
- Last updated
- 2009-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.