Provider Demographics
NPI:1568446698
Name:FINNELL, VAL WANO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:VAL
Middle Name:WANO
Last Name:FINNELL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 E MAIN ST REAR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-3851
Mailing Address - Country:US
Mailing Address - Phone:310-653-6165
Mailing Address - Fax:
Practice Address - Street 1:36 E MAIN ST REAR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-3851
Practice Address - Country:US
Practice Address - Phone:310-653-6165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059873L207ZP0102X
TXL49372083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159616501Medicaid
8A4174Medicare ID - Type Unspecified
TX159616501Medicaid