Wellspan Medical Group

NPI #1093882144 in Red Lion, Pennsylvania

Provider Information

NPI Number: 1093882144
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Nov 30, 2006
Last Updated: Jan 11, 2018

Practice Location

Address: 3065 WINDSOR RD
City: Red Lion
State: Pennsylvania
ZIP Code: 17356-8533
Phone: (717) 851-1700

Authorized Official

Name: MS. CHRISTINA VEST
Title: CREDENTIALING SUPERVISOR
Phone: (717) 851-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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