Individual
GWENDOLYN BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
201 ROOSEVELT AVE, SELINSGROVE, PA 17870-7969
(570) 374-0151
(570) 374-0311
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 374-0151
(570) 374-0311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA007636
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
03/09/2026
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