Organization
ADVANCED HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON BUPP D.C. (OWNER)
(330) 336-9500
Entity
Organization
Contact information
Practice address
201 GREAT OAKS TRL, WADSWORTH, OH 44281-9430
(330) 336-9500
(330) 336-3377
Mailing address
201 GREAT OAKS TRL, WADSWORTH, OH 44281-9430
(330) 336-9500
(330) 336-3377
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35082293
OH
Other
Enumeration date
03/08/2011
Last updated
01/14/2014
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