Wellspan Medical Group

NPI #1699412031 in Carlisle, Pennsylvania

Provider Information

NPI Number: 1699412031
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: May 17, 2022
Last Updated: May 17, 2022

Practice Location

Address: 220 WILSON ST STE 109
City: Carlisle
State: Pennsylvania
ZIP Code: 17013-3697
Phone: (717) 249-1929

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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