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Individual

DR. WENDELL LAVERN FUNK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
230 HARRISBURG AVE, SUITE 7, LANCASTER, PA 17603-2959
(717) 299-9551
(717) 399-9266
Mailing address
230 HARRISBURG AVE, SUITE 7, LANCASTER, PA 17603-2959
(717) 299-9551
(717) 399-9266

Taxonomy

Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
MD019811-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0812284
PA
Enumeration date
08/15/2006
Last updated
07/08/2007
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