Wellspan Medical Group

NPI #1396812970 in Aspers, Pennsylvania

Provider Information

NPI Number: 1396812970
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Nov 29, 2006
Last Updated: Sep 18, 2015

Practice Location

Address: 2060 CARLISLE RD
City: Aspers
State: Pennsylvania
ZIP Code: 17304-9707
Phone: (717) 339-2585

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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