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Individual

GEORGE T ECKENRODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNM

Contact information

Practice address
1575 HIGHLANDS DR, SUITE 101, LITITZ, PA 17543-7507
(717) 393-1338
(717) 627-1817
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008165L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001442535
PA
Enumeration date
01/24/2006
Last updated
01/08/2018
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