Promedica Central Physicians, LLC

NPI #1063793917 in Toledo, Ohio

Provider Information

NPI Number: 1063793917
Entity Type: Organization
Organization Name: Promedica Central Physicians, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 6, 2011
Last Updated: Sep 6, 2011

Practice Location

Address: 2865 N REYNOLDS RD
Address 2: SUITE 160
City: Toledo
State: Ohio
ZIP Code: 43615-2068
Phone: (419) 578-4260

Authorized Official

Name: AMY L BAHNSEN
Title: CREDENTIALING SUPERVISOR
Phone: (419) 824-7334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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