Individual
BRANDAN C WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001813
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075468
—
OH
Enumeration date
01/05/2006
Last updated
08/11/2022
Update your record
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