OrganizationActive
Advanced Spine Joint and Wellness Center
NPI 1376881144 · Family Medicine Physician · Medina, OH
Provider details
- NPI number
- 1376881144
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Bupp, Partner(330) 336-9500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5020 Victor Dr
Medina, OH 44256-9688
Phone: (330) 433-4243
Fax: (330) 721-6508
Approximate (ZIP-level) locationGet directions
Mailing address
5020 Victor Dr
Medina, OH 44256-9688
Registry dates
- Enumerated
- 2013-01-29
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.