Promedica Northwest Ohio Cardiology Consultants, LLC

NPI #1730460684 in Oregon, Ohio

Provider Information

NPI Number
1730460684
Entity Type
Organization
Organization Name
Promedica Northwest Ohio Cardiology Consultants, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Sep 6, 2011
Last Updated
Sep 6, 2011

Practice Location

Address
2751 BAY PARK DR
Address 2
SUITE 305
City
Oregon
State
Ohio
ZIP Code
43616-4921
Phone
(419) 690-7689

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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