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Organization
WELLNESS MEDICAL PRACTICE, PLLC
Active
Organization
WELLNESS MEDICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNELL R SMITH MD (OWNER)
(716) 881-4300
Entity
Organization
Contact information
Practice address
135 GRANT ST, BUFFALO, NY 14213-1604
(716) 881-4300
(716) 881-5300
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
10/15/2007
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