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Organization
PROMEDICA CENTRAL PHYSICIANS LLC
Active
Organization
PROMEDICA CENTRAL PHYSICIANS LLC
Active
Other names
ProMedica Physicians Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L DWYER (CREDENTAILING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
5855 MONROE ST, SYLVANIA, OH 43560-2269
(419) 824-7250
(419) 885-3921
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
OH
363A00000X
Physician Assistant
—
OH
363L00000X
Nurse Practitioner
—
OH
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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