Organization
UPMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE D WILLIAMS (AUTHORIZATION COODINATOR)
(717) 791-2520
Entity
Organization
Contact information
Practice address
4310 LONDONDERRY RD STE 202, HARRISBURG, PA 17109-5329
(717) 791-2520
(717) 791-2520
Mailing address
4310 LONDONDERRY RD STE 202, HARRISBURG, PA 17109-5329
(717) 791-2520
(717) 791-2520
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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