Wavrunek, Mark

Wavrunek, Mark is an sole proprietor health care provider with primary practice located at 4800 Maine St , Quincy IL 62305-5875. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wavrunek, Mark can be contacted via phone (217) 214-3823.

Contact Information

Primary practice address
4800 Maine St Quincy IL 62305-5875
Phone: (217) 214-3823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 41000333A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005840 Illinois

Profile Details

NPI number 1194107607
LBN Legal business name Wavrunek, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2015
Last updated Jan 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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