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Organization
SHAWNEE MEDICAL GROUP, P.C.
Active
Organization
SHAWNEE MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANITA ANN SATTERFIELD (OFFICE MANAGER)
(570) 421-4759
Entity
Organization
Contact information
Practice address
BUTTERMILK FALLS ROAD, SHAWNEE-ON-DELAWARE, PA 18356-0244
(570) 421-3900
(570) 424-1549
Mailing address
PO BOX 244, SHAWNEE ON DELAWARE, PA 18356-0244
(570) 421-3900
(570) 424-1549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD031607E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002113
FIRST PRIORITY
PA
05
—
1007575050001
—
PA
05
—
1007575050003
—
PA
05
—
1007575050004
—
PA
01
—
414-E105
GEISINGER
PA
01
—
454980
AETNA PPO
PA
01
—
5501209
GHI
PA
01
—
73398
UNISON
PA
01
—
744447
BLUE SHIELD
PA
Enumeration date
02/10/2006
Last updated
02/12/2013
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