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Mr. Andrew David Wagenheim, PA-C
Medical Physician Assistant in Harrisburg, Pennsylvania
NPI 1689701815

Andrew David Wagenheim is a Medical Physician Assistant based in Harrisburg, PA and is specialized in Medical. Andrew David Wagenheim practices in Harrisburg, PA and has the professional credentials of PA-C. The NPI Number for Andrew David Wagenheim is 1689701815 and holds a License No. MA052910 (Pennsylvania).

The current practice location address for Andrew David Wagenheim is 4310 Londonderry Rd Ste 1B, Harrisburg, PA and can be reached out via phone at 717-791-2620.

Location: 4310 Londonderry Rd Ste 1B, Harrisburg, PA, 17109-5300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689701815
Provider Name
Andrew David Wagenheim
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4310 Londonderry Rd Ste 1B, Harrisburg, PA, 17109-5300
Phone Number
717-791-2620
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1954039 01 PA HIGHMARK BLUE SHIELD-WMG
1565334 01 PA GATEWAY-WMG
institution
Provider Business Practice Location Address Details
Address
4310 Londonderry Rd Ste 1B
City
Harrisburg
State
Pennsylvania
Zip
17109-5300
Phone Number
717-791-2620
Fax Number
person
Provider Business Mailing Address Details
Address
4310 Londonderry Rd Ste 1B
City
Harrisburg
State
Pennsylvania
Zip
17109-5300
Phone Number
717-791-2620
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
MA052910 (Pennsylvania)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA052910 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
MA052910 (Pennsylvania)
Definition
Definition to come...
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