MEDICARE: DANIEL C WIMER PA-C

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	MA059676	PA

General Provider Information

NPI Number	:	1760981468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL C WIMER PA-C

Provider Business Mailing Address
First Line	:	51 PETERS ROAD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2374
Country	:	US
Telephone Number	:	717-544-6111
Fax Number	:	717-544-6115

Provider Business Practice Location Address
First Line	:	540 N DUKE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2374
Country	:	US
Telephone Number	:	717-544-6111
Fax Number	:	717-544-6115

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

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	01/06/2026

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