Healthcare Provider Details

I. General information

NPI: 1386621431
Provider Name (Legal Business Name): DAN A MEISENHELDER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 E MARKET ST
YORK PA
17402-2841
US

IV. Provider business mailing address

1203 S QUEEN ST
YORK PA
17403-3922
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-3537
  • Fax: 717-757-6296
Mailing address:
  • Phone: 717-757-3537
  • Fax: 717-718-8665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC001685L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: