Individual
GERARD ALAN WAGGENSPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-4624
(717) 851-3431
Mailing address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 938-2765
(717) 932-3095
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD043215E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001153372
—
PA
Enumeration date
09/26/2005
Last updated
05/08/2008
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