Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Urogynecology & Pelvic Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR)
(717) 851-1401
Entity
Organization
Contact information
Practice address
35 MONUMENT RD, SUITE 204, YORK, PA 17403-5074
(717) 851-2443
(717) 851-6129
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2443
(717) 851-6129
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
05/12/2014
Last updated
10/20/2025
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