Wellspan Medical Group

NPI #1972664068 in York, Pennsylvania

Provider Information

NPI Number: 1972664068
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Pediatrics
Enumeration Date: Dec 12, 2006
Last Updated: Dec 23, 2015

Practice Location

Address: 2050 S QUEEN ST
Address 2: SUITE 100
City: York
State: Pennsylvania
ZIP Code: 17403-4829
Phone: (717) 812-4240

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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