Promedica Central Physicians LLC

NPI #1518202050 in Sandusky, Ohio

Provider Information

NPI Number: 1518202050
Entity Type: Organization
Organization Name: Promedica Central Physicians LLC
Primary Specialty: Pediatrics - Pediatric Pulmonology
Enumeration Date: Dec 11, 2012
Last Updated: Feb 5, 2021

Practice Location

Address: 1912 HAYES AVE
City: Sandusky
State: Ohio
ZIP Code: 44870-4736
Phone: (419) 557-6767

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Pediatric Critical Care Medicine — Pediatric Critical Care Medicine	2080P0203X
Pediatrics - Pediatric Pulmonology — Pediatric Pulmonology	2080P0214X	Primary

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