Wellspan Medical Group
NPI #1114292760 in Hanover, Pennsylvania
Provider Information
- NPI Number
- 1114292760
- Entity Type
- Organization
- Organization Name
- Wellspan Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 15, 2012
- Last Updated
- Jan 11, 2018
Practice Location
- Address
- 100 FREDERICK ST
- Address 2
- SUITE 101
- City
- Hanover
- State
- Pennsylvania
- ZIP Code
- 17331-3518
- Phone
- (717) 851-7050
Authorized Official
- Name
- MS. CHRISTINA VEST
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (717) 851-1405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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