Wellspan Medical Group

NPI #1346488764 in York, Pennsylvania

Provider Information

NPI Number: 1346488764
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Surgery - Surgical Oncology
Enumeration Date: Jan 22, 2009
Last Updated: Dec 31, 2015

Practice Location

Address: 25 MONUMENT RD
Address 2: SUITE 220
City: York
State: Pennsylvania
ZIP Code: 17403-5049
Phone: (717) 812-7676

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Surgical Oncology — Surgical Oncology	2086X0206X	Primary

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