Promedica Central Physicians

NPI #1952680514 in Defiance, Ohio

Provider Information

NPI Number
1952680514
Entity Type
Organization
Organization Name
Promedica Central Physicians
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Aug 12, 2011
Last Updated
Aug 12, 2011

Practice Location

Address
1250 RALSTON AVE
Address 2
SUITE 106
State
Ohio
ZIP Code
43512-5311
Phone
(419) 783-6931

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Sleep MedicineSleep Medicine
Internal Medicine - Pulmonary DiseasePulmonary Disease

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