Midwest Cardiovascular Consultants LLC

NPI #1821369307 in Defiance, Ohio

Provider Information

NPI Number
1821369307
Entity Type
Organization
Organization Name
Midwest Cardiovascular Consultants LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Jan 16, 2012
Last Updated
Jan 16, 2012

Practice Location

Address
1250 RALSTON AVE
Address 2
SUITE 203A
State
Ohio
ZIP Code
43512-5311
Phone
(419) 783-6895

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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