Individual
DWIGHT IRA MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2140 FISHER RD, MECHANICSBURG, PA 17055-5122
(717) 766-1795
(717) 697-6575
Mailing address
2140 FISHER RD, MECHANICSBURG, PA 17055-5122
(717) 766-1795
(717) 697-6575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-029636E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012418 02
—
PA
Enumeration date
07/29/2005
Last updated
01/27/2021
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