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Organization

WELLSPAN MEDICAL GROUP

Active
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Organization

WELLSPAN MEDICAL GROUP

Active
Other names
WellSpan Family Medicine-Manheim
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization

Contact information

Practice address
107 W END DR, MANHEIM, PA 17545-9320
(717) 721-4860
(717) 664-5028
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 664-5028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—

Other

Enumeration date
06/16/2014
Last updated
11/18/2014
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