| NPI | 1194484089 |
|---|---|
| Doing Business As | WELLSPAN FAMILY MEDICINE-W MAIN ST |
| Entity Type | Organization |
| Authorized Contact | LAURA FRANK Credentialing Manager 717-851-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |