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Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Other names
Cantor & Freeman
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
2865 N REYNOLDS RD, SUITE 260, TOLEDO, OH 43615-2068
(419) 578-4280
(419) 537-5684
Mailing address
2865 N REYNOLDS RD, SUITE 260, TOLEDO, OH 43615-2068
(419) 578-4280
(419) 537-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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