Promedica Genito-Urinary Surgeons LLC

NPI #1366795221 in Toledo, Ohio

Provider Information

NPI Number: 1366795221
Entity Type: Organization
Organization Name: Promedica Genito-Urinary Surgeons LLC
Primary Specialty: Urology
Enumeration Date: Oct 17, 2012
Last Updated: Oct 12, 2023

Practice Location

Address: 2120 W CENTRAL AVE
City: Toledo
State: Ohio
ZIP Code: 43606-3834
Phone: (419) 531-8558

Authorized Official

Name: KRISTIN KNUEVEN
Title: SUPERVISOR
Phone: (567) 585-1969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Nurse Anesthetist, Certified Registered	367500000X
Urology	208800000X	Primary

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