Healthcare Provider Details

I. General information

NPI: 1407032105
Provider Name (Legal Business Name): WIMIS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 01/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 6TH AVE STE 117
YORK PA
17403-2627
US

IV. Provider business mailing address

1600 6TH AVE STE 117
YORK PA
17403-2627
US

V. Phone/Fax

Practice location:
  • Phone: 717-840-9885
  • Fax: 717-840-9313
Mailing address:
  • Phone: 717-840-9885
  • Fax: 717-840-9313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMD062316L
License Number StatePA

VIII. Authorized Official

Name: JULIE DROLET
Title or Position: PRESIDENT
Credential: MD
Phone: 717-840-9885