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Individual

DR. MICHAEL W CONSEVAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 N FRONT ST, PEDIATRIC CARDIOLOGY, WORMLEYSBURG, PA 17043-1034
(717) 761-0200
(717) 761-0641
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD042293L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001471500
PA
Enumeration date
08/02/2005
Last updated
09/24/2018
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