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107 W End Dr Manheim PA 17545-9320 | |
(717) 721-4860 | |
(717) 664-5028 |
Full Name | |
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Speciality | Family Medicine |
Location | 107 W End Dr, Manheim, Pennsylvania |
Authorized Official Name and Position | Amy F Wilkinson (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 7178511405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | 107 W End Dr Manheim PA 17545-9320 Ph: (717) 721-4860 |
NPI Number | 1902210289 |
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Provider Enumeration Date | 06/16/2014 |
Last Update Date | 11/18/2014 |
Identifier | Type | State | Issuer |
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1902210289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
Gary A Luken Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Doe Run Rd, Manheim, PA 17545 Phone: 717-664-1001 Fax: 717-664-1003 | |