Individual provider · Type 1 NPI
Mark Wavrunek
Foot & Ankle Surgery Podiatrist · Quincy, IL
NPI number
1194107607
Active
Practice location
4800 Maine St
Quincy, IL 62305-5875
Fax (217) 277-5596
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016005840 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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- Carrie Bennett, FNPFamily Nurse Practitioner Quincy, IL NPI 1912776022
- Catherine Rose Baker, MDFamily Medicine Physician Quincy, IL NPI 1639795552
- Christina Marie Peterson, DOFamily Medicine Physician Quincy, IL NPI 1467193128
- Dacon Scott, PA-CPhysician Assistant Quincy, IL NPI 1699395020
- Darr W. Leutz, MDOrthopaedic Surgery Physician Quincy, IL NPI 1225069057
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About NPI 1194107607
Mark Wavrunek's National Provider Identifier is 1194107607, issued on Jun 19, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Quincy, IL. The record was last updated on Oct 14, 2026.