Wellness Medical Practice, Pllc

NPI #1780626960 in Buffalo, New York

Provider Information

NPI Number: 1780626960
Entity Type: Organization
Organization Name: Wellness Medical Practice, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 12, 2006
Last Updated: Oct 15, 2007

Practice Location

Address: 135 GRANT ST
City: Buffalo
State: New York
ZIP Code: 14213-1604
Phone: (716) 881-4300

Authorized Official

Name: GLENNELL R SMITH, MD
Title: OWNER
Phone: (716) 881-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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