Wellspan Medical Group

NPI #1659822187 in Myerstown, Pennsylvania

Provider Information

NPI Number: 1659822187
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Oct 19, 2016
Last Updated: Oct 19, 2016

Practice Location

Address: 6 PERRI AVE
City: Myerstown
State: Pennsylvania
ZIP Code: 17067-3200
Phone: (717) 949-6581

Authorized Official

Name: CHRISTINA MOON
Title: SUPERVISOR-VERIFICATION SERVICES
Phone: (717) 851-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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