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

Wallace Bruce Obenshain Cecilton Family Practice

Organization Family Medicine Physician · NPI 1134261217

Wallace Bruce Obenshain Cecilton Family Practice is a Family Medicine Physician in Cecilton, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007

Practice location Address checks out

251 Bohemia Ave
Cecilton, MD 21913
Phone: (410) 275-8157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0035779 (MD)

Record details

NPI number1134261217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Fields — Credentialing Coordinator · (410) 398-4679
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJune 12, 2008
Mailing addressPo Box 190, Elkton, MD 21922-0190

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