Wellspan Medical Group

NPI #1750443719 in York, Pennsylvania

Provider Information

NPI Number: 1750443719
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Pediatrics
Enumeration Date: Dec 15, 2006
Last Updated: Aug 11, 2010

Practice Location

Address: 2339 S GEORGE ST
City: York
State: Pennsylvania
ZIP Code: 17403-5009
Phone: (717) 812-3040

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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