Promedica Central Physician, LLC

NPI #1346587276 in Toledo, Ohio

Provider Information

NPI Number: 1346587276
Entity Type: Organization
Organization Name: Promedica Central Physician, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 11, 2013
Last Updated: Jan 11, 2013

Practice Location

Address: 2150 W CENTRAL AVE
City: Toledo
State: Ohio
ZIP Code: 43606-3834
Phone: (419) 291-3300

Authorized Official

Name: LORRAINE MCCUNE
Title: CREDENTIALING CORRDINATOR
Phone: (419) 824-7264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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