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Organization
MILLCREEK FAMILY PRACTICE AND INTERNAL MEDICINE
Active
Organization
MILLCREEK FAMILY PRACTICE AND INTERNAL MEDICINE
Active
Parent organization
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Authorized official
WENDI LYNN LUEBBERT (DELEGATED OFFICIAL)
(814) 452-5772
Entity
Organization
Contact information
Practice address
2501 W 12TH ST STE C4, ERIE, PA 16505-4527
(814) 461-6626
(814) 871-6349
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5036
(814) 860-5063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
10/26/2017
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