| Doctor Name: | JEFFREY B WILPS |
| NPI Number: | 1063412401 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 36002849W |
| Business Practice Address: | 3747 Main St Weirton, WV - 260625309 |
| Business Phone Number: | 3047970190 |
| Business Fax Number: | 3047971187 |
| Mailing Address: | 3747 Main St, WEIRTON |
| State: | WV |
| Postal Code: | 260625309 |
| Phone Number: | 3077970190 |
| Fax Number: | 3047971187 |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 36002849W |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |