Promedica Central Physicians

NPI #1043270150 in Toledo, Ohio

Provider Information

NPI Number: 1043270150
Entity Type: Organization
Organization Name: Promedica Central Physicians
Primary Specialty: Family Medicine
Enumeration Date: Mar 23, 2006
Last Updated: Oct 4, 2023

Practice Location

Address: 100 MADISON AVE
Address 2: MSC-S38805
City: Toledo
State: Ohio
ZIP Code: 43604-1531
Phone: (567) 585-1964

Authorized Official

Name: TANYA WINES
Title: DIRECTOR, CREDENTIALING
Phone: (567) 585-0422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Internal Medicine	207R00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Internal Medicine - Sleep Medicine — Sleep Medicine	207RS0012X
Obstetrics & Gynecology	207V00000X
Ophthalmology	207W00000X
Otolaryngology	207Y00000X
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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