# PROMEDICA CENTRAL PHYSICIANS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285826156
- **Authorized official:** KIMBERLY GOVAN (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (419) 824-7221

## Contact information

- **Practice address:** 1601 BRIGHAM DR, SUITE 250A, PERRYSBURG, OH 43551-7114
- **Practice address phone:** (419) 872-7760
- **Practice address fax:** (419) 874-8657
- **Mailing address:** 1601 BRIGHAM DR, SUITE 250A, PERRYSBURG, OH 43551-7114
- **Mailing address phone:** (419) 872-7760
- **Mailing address fax:** (419) 874-8657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 34007277 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 08/15/2007