Individual
JOHN MAYNARD LEVENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RT-1560
NH
207RG0100X
Gastroenterology Physician
14352
NH
207RG0100X
Gastroenterology Physician
Primary
MD451521
PA
Other
Enumeration date
10/03/2006
Last updated
08/21/2014
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