| Organization Name: | PETER A WIGGIN DPM INC |
| NPI Number: | 1043305337 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER AUSTIN WIGGIN (OWNER) |
| Mailing Address: | 74 Wood St Mansfield |
| State: | OH US |
| Postal Code: | 449032211 |
| Phone Number: | 4197561875 |
| Fax Number: | 4195253264 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 03/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |