Wellspan Medical Group

NPI #1790315653 in York, Pennsylvania

Provider Information

NPI Number: 1790315653
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Optometrist
Enumeration Date: Jan 20, 2020
Last Updated: Nov 29, 2021

Practice Location

Address: 25 MONUMENT RD STE 297
City: York
State: Pennsylvania
ZIP Code: 17403-5049
Phone: (717) 741-6732

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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