Wellspan Medical Group

NPI #1215994934 in York, Pennsylvania

Provider Information

NPI Number: 1215994934
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Apr 27, 2006
Last Updated: Aug 10, 2010

Practice Location

Address: 924 COLONIAL AVE STE B
City: York
State: Pennsylvania
ZIP Code: 17403-3450
Phone: (717) 845-8623

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Hospitalist	208M00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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