Wellspan Medical Group

NPI #1598862716 in York, Pennsylvania

Provider Information

NPI Number: 1598862716
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2006
Last Updated: Aug 11, 2010

Practice Location

Address: 1101 EDGAR ST
Address 2: SUITE E
City: York
State: Pennsylvania
ZIP Code: 17403-2862
Phone: (717) 851-1566

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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