| NPI | 1265655633 |
|---|---|
| Doing Business As | WELLSPAN PLASTIC SURGERY & SKIN CARE |
| Entity Type | Organization |
| Authorized Contact | LISSA N. HINCKLE Senior VP Of Physician Services 717-267-4839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD451341) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052608) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-12-02 |