MEDICARE: WESLEY J INSKO PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA64382	CA

General Provider Information

NPI Number	:	1578318564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY J INSKO PA

Provider Business Mailing Address
First Line	:	16 DEER RUN
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-5223
Country	:	US
Telephone Number	:	207-776-8824
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 1000
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-3913
Country	:	US
Telephone Number	:	844-780-1515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	04/22/2024

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