Promedica Central Physicians LLC

NPI #1588091599 in Oregon, Ohio

Provider Information

NPI Number
1588091599
Entity Type
Organization
Organization Name
Promedica Central Physicians LLC
Primary Specialty
Surgery
Enumeration Date
Oct 4, 2013
Last Updated
Oct 4, 2013

Practice Location

Address
2751 BAY PARK DR
Address 2
SUITE 202
City
Oregon
State
Ohio
ZIP Code
43616-4921
Phone
(419) 690-7550

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Colon & Rectal Surgery
Surgery

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