Promedica Northwest Ohio Cardiology Consultants, LLC

NPI #1457630105 in Wauseon, Ohio

Provider Information

NPI Number
1457630105
Entity Type
Organization
Organization Name
Promedica Northwest Ohio Cardiology Consultants, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Aug 12, 2011
Last Updated
Aug 12, 2011

Practice Location

Address
734 S SHOOP AVE
Address 2
SUITE B
State
Ohio
ZIP Code
43567-1707
Phone
(419) 337-9995

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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