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Organization

PROMEDICA CEMTRAL PHYSICIANS, LLC

Active
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Organization

PROMEDICA CEMTRAL PHYSICIANS, LLC

Active
Other names
Family Practice of Toledo
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY GOVAN (CREDENTIALING SUPERVISOR)
(419) 824-7221
Entity
Organization

Contact information

Practice address
3740 W SYLVANIA AVE, SUITE 100, TOLEDO, OH 43623-4461
(419) 473-6601
(419) 479-6966
Mailing address
3740 W SYLVANIA AVE, SUITE 100, TOLEDO, OH 43623-4461
(419) 473-6601
(419) 479-6966

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
02/09/2007
Last updated
02/18/2008
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