Individual
MR. ANDREW DAVID WAGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4310 LONDONDERRY RD STE 1B, HARRISBURG, PA 17109-5300
(717) 791-2620
Mailing address
4310 LONDONDERRY RD STE 1B, HARRISBURG, PA 17109-5300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA052910
PA
363AM0700X
Medical Physician Assistant
Primary
MA052910
PA
363AS0400X
Surgical Physician Assistant
MA052910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1565334
GATEWAY-WMG
PA
01
—
1954039
HIGHMARK BLUE SHIELD-WMG
PA
Enumeration date
02/27/2007
Last updated
05/07/2024
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