Promedica Central Physicians, LLC

NPI #1548397938 in Defiance, Ohio

Provider Information

NPI Number: 1548397938
Entity Type: Organization
Organization Name: Promedica Central Physicians, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 27, 2007
Last Updated: Jan 12, 2016

Practice Location

Address: 1250 RALSTON AVE
Address 2: SUITE 102
City: Defiance
State: Ohio
ZIP Code: 43512-5311
Phone: (419) 783-6996

Authorized Official

Name: AMY DWYER
Title: CREDENTIALING SUPERVISOR
Phone: (567) 585-1934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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