Promedica Central Physicians

NPI #1194098566 in Toledo, Ohio

Provider Information

NPI Number: 1194098566
Entity Type: Organization
Organization Name: Promedica Central Physicians
Primary Specialty: Urology
Enumeration Date: Feb 16, 2012
Last Updated: Feb 16, 2012

Practice Location

Address: 3436 GRANITE CIR
City: Toledo
State: Ohio
ZIP Code: 43617-1160
Phone: (419) 861-4952

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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