# PROMEDICA CENTRAL PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Terry M. Gibbs, D.O.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407996333
- **Authorized official:** AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (419) 824-7334

## Contact information

- **Practice address:** 5308 HARROUN RD, SUITE 175, SYLVANIA, OH 43560-2114
- **Practice address phone:** (419) 824-5608
- **Practice address fax:** (419) 885-3686
- **Mailing address:** 5308 HARROUN RD, SUITE 175, SYLVANIA, OH 43560-2114
- **Mailing address phone:** (419) 824-5608
- **Mailing address fax:** (419) 885-3686

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 07/21/2022