| Wellspan Medical Group | |
|
107 W End Dr Manheim PA 17545-9320 | |
| (717) 721-4860 | |
| (717) 664-5028 |
| Full Name | Wellspan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 107 W End Dr, Manheim, Pennsylvania |
| Authorized Official Name and Position | Amy F Wilkinson (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7178511405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Medical Group 3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | Wellspan Medical Group 107 W End Dr Manheim PA 17545-9320 Ph: (717) 721-4860 |
| NPI Number | 1902210289 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902210289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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