Wellspan Medical Group

NPI #1306277488 in Gettysburg, Pennsylvania

Provider Information

NPI Number: 1306277488
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Nov 27, 2013
Last Updated: Sep 11, 2014

Practice Location

Address: 423 S WASHINGTON ST
City: Gettysburg
State: Pennsylvania
ZIP Code: 17325-2526
Phone: (717) 339-3165

Authorized Official

Name: MS. AMY F WILKINSON
Title: CREDENTIALING SUPERVISOR
Phone: (717) 851-1401

Specialties & Taxonomy Codes

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

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