| NPI | 1063834125 |
|---|---|
| Doing Business As | BRANDON J WILT DPM |
| Entity Type | Organization |
| Authorized Contact | BRANDON J WILT Owner 814-623-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC006021) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-05-21 |