| Wellspan Medical Group | |
|
17 Western Maryland Pkwy Ste 100 Hagerstown MD 21740-5471 | |
| (301) 797-9240 | |
| (301) 797-9240 |
| Full Name | Wellspan Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 17 Western Maryland Pkwy Ste 100, Hagerstown, Maryland |
| Authorized Official Name and Position | Laura Frank (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7178516832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Medical Group 3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | Wellspan Medical Group 17 Western Maryland Pkwy Ste 100 Hagerstown MD 21740-5471 Ph: (301) 797-9240 |
| NPI Number | 1407431588 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407431588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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