Promedica Central Physicians,llc

NPI #1578604872 in Swanton, Ohio

Provider Information

NPI Number: 1578604872
Entity Type: Organization
Organization Name: Promedica Central Physicians,llc
Primary Specialty: Family Medicine
Enumeration Date: Feb 9, 2007
Last Updated: Feb 18, 2008

Practice Location

Address: 22 TURTLE CREEK CIR
Address 2: SUITE E
City: Swanton
State: Ohio
ZIP Code: 43558-8591
Phone: (419) 825-2387

Authorized Official

Name: KIMBERLY GOVAN
Title: CREDENTIALING SUPERVISOR
Phone: (419) 824-7221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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