Wellspan Medical Group

NPI #1801954276 in York, Pennsylvania

Provider Information

NPI Number: 1801954276
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Dec 5, 2006
Last Updated: Aug 11, 2010

Practice Location

Address: 296 ST. CHARLES WAY
City: York
State: Pennsylvania
ZIP Code: 17402-4648
Phone: (717) 851-6567

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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