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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELAINE SWEITZER (DIRECTOR)
(717) 851-6838
Entity
Organization
Contact information
Practice address
1777 5TH AVE, YORK, PA 17403-2632
(717) 843-8051
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772136
—
PA
Enumeration date
04/29/2024
Last updated
04/29/2024
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