Wellspan Medical Group

NPI #1194484089 in Ephrata, Pennsylvania

Provider Information

NPI Number: 1194484089
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Dec 8, 2021
Last Updated: Dec 8, 2021

Practice Location

Address: 1635 W MAIN ST STE 700
City: Ephrata
State: Pennsylvania
ZIP Code: 17522-1147
Phone: (717) 738-2468

Authorized Official

Name: LAURA FRANK
Title: CREDENTIALING MANAGER
Phone: (717) 851-6832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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