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Mark Wavrunek
Foot & Ankle Surgery Podiatrist in Quincy, Illinois
NPI 1194107607

Mark Wavrunek is a Foot & Ankle Surgery Podiatrist based in Quincy, IL and is specialized in Foot & Ankle Surgery. Mark Wavrunek practices in Quincy, IL. The NPI Number for Mark Wavrunek is 1194107607 and holds a License No. 41000333A (Illinois).

The current practice location address for Mark Wavrunek is 4800 Maine St, Quincy, IL and can be reached out via phone at 217-214-3823. You can also correspond with Mark Wavrunek through the mailing address at 4800 MAINE ST, QUINCY, IL - 62305-5875 (mailing address contact number: 217-214-3823).

Location: 4800 Maine St, Quincy, IL, 62305-5875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194107607
Provider Name
Mark Wavrunek
Credential
Provider Entity Type
Individual
Gender
Male
Address
4800 Maine St, Quincy, IL, 62305-5875
Phone Number
217-214-3823
Fax Number
Provider Enumeration Date
06/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4800 Maine St
City
Quincy
State
Illinois
Zip
62305-5875
Phone Number
217-214-3823
Fax Number
person
Provider Business Mailing Address Details
Address
4800 Maine St
City
Quincy
State
Illinois
Zip
62305-5875
Phone Number
217-214-3823
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016005840 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
41000333A (Indiana)
Definition
Definition to come...
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