| Russel H. Etter Md | |
|
55 Wyntre Brooke Dr York PA 17403-4536 | |
| (717) 741-3896 | |
| (717) 741-5434 |
| Full Name | Russel H. Etter Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 55 Wyntre Brooke Dr, York, Pennsylvania |
| Authorized Official Name and Position | Pamela S Wolfgang (OFFICE MANAGER) |
| Authorized Official Contact | 7177413896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russel H. Etter Md 55 Wyntre Brooke Dr York PA 17403-4536 Ph: (717) 741-3896 | Russel H. Etter Md 55 Wyntre Brooke Dr York PA 17403-4536 Ph: (717) 741-3896 |
| NPI Number | 1346386992 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346386992 | NPI | - | NPPES |
| 03206000 | Other | PA | CAPITAL BLUE CROSS |
| 172355 | Other | PA | HEALTHAMERICAN PA |
| 0004626999 | Other | PA | AETNA |
| 8110175 | Other | PA | CIGNA |
| 000018534 | Other | PA | HIGHMARK BLUE SHIELD |
| 0643575 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD008050E (Pennsylvania) | Primary |
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