Individual
JOHN CHARLES WALLENDJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3721 TECPORT DRIVE, HEALTH AMERICA, HARRISBURG, PA 17106-7103
(717) 540-6774
(717) 671-2459
Mailing address
127 HILLYMEDE CIRCLE, HARRISBURG, PA 17111-4911
(717) 566-9881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDO19773E
PA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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