| Brewster Family Wellness Center | |
|
4124 Fulton Dr Nw Ste 101 Canton OH 44718-2852 | |
| (330) 433-9260 | |
| (330) 433-9263 |
| Full Name | Brewster Family Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 4124 Fulton Dr Nw, Canton, Ohio |
| Authorized Official Name and Position | Diana Brewster (OWNER) |
| Authorized Official Contact | 3304339260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brewster Family Wellness Center 4124 Fulton Dr Nw Ste 101 Canton OH 44718-2852 Ph: (330) 433-9260 | Brewster Family Wellness Center 4124 Fulton Dr Nw Ste 101 Canton OH 44718-2852 Ph: (330) 433-9260 |
| NPI Number | 1881097087 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881097087 | NPI | - | NPPES |
| 2399855 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34007790 (Ohio) | Primary |
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