Wellspan Medical Group

NPI #1184784704 in Gettysburg, Pennsylvania

Provider Information

NPI Number: 1184784704
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Dec 12, 2006
Last Updated: Apr 4, 2016

Practice Location

Address: 40 V TWIN DR STE 204
City: Gettysburg
State: Pennsylvania
ZIP Code: 17325-7878
Phone: (717) 339-2424

Authorized Official

Name: MS. AMY F WILKINSON
Title: CREDENTIALING COORDINATOR
Phone: (717) 851-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Internal Medicine	207R00000X	Primary

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