Wellspan Medical Group

NPI #1639767759 in York, Pennsylvania

Provider Information

NPI Number: 1639767759
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Jan 5, 2021
Last Updated: Jan 5, 2021

Practice Location

Address: 1777 5TH AVE
City: York
State: Pennsylvania
ZIP Code: 17403-2632
Phone: (717) 843-7780

Authorized Official

Name: LAURA FRANK
Title: CREDENTIALING SUPERVISOR
Phone: (717) 851-6832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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