Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street Medical Center Inc

Organization Internal Medicine Physician · NPI 1063561041

Main Street Medical Center Inc is an Internal Medicine Physician in Shenandoah, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 S Main St
Shenandoah, PA 17976
Phone: (570) 462-1033
Fax: (570) 462-1171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD418365 (PA)

Record details

NPI number1063561041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adolph Wychulis — Owner · (570) 462-1033
NPI enumeratedJanuary 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address24 South Main Street, Shenandoah, PA 17976

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