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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANDREW DAVID WAGENHEIM, PA-C

Active

MR. ANDREW DAVID WAGENHEIM, PA-C is a Medical Physician Assistant healthcare provider located in HARRISBURG, Pennsylvania. NPI 1689701815 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · HARRISBURG, PA

Registration Details

NPI Number
1689701815
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2007 (19.415890154274 yrs)
Last Updated
May 7, 2024
Licenses
MA052910 (PA)
MA052910 (PA)
MA052910 (PA)

Practice Information

Address
4310 LONDONDERRY RD STE 1B
HARRISBURG, PA, 171095300
Browse PA providers · Browse ZIP 17109
Phone
7177912620
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in HARRISBURG, PA

Name Credential NPI
MS. MARNIE IRENE ODONNELL PAC 1649264268
MS. MICHELLE RENEE KOSTELAC PA-C 1467430918
MRS. JOAN NERVIANO P.A. 1598730483
MS. VIRGINIA T ROTH P.A. 1508832247
ALICIA F MURPHY-SMITH PA-C 1083676464
MRS. VIVA A. LATTIMORE PA-C 1720039183
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.