Individual
BRANDAN C WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8701 OLD TROY PIKE STE 240, HUBER HEIGHTS, OH 45424-1053
(937) 396-2880
(937) 396-2205
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
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
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