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Organization
PROMEDICA CENTRAL PHYSICIAN, LLC
Active
Organization
PROMEDICA CENTRAL PHYSICIAN, LLC
Active
Other names
Sunforest OB GYN Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA DIXON (CREDENTIALING ASSISTANT)
(419) 824-7288
Entity
Organization
Contact information
Practice address
3740 W SYLVANIA AVE, SUITE 103, TOLEDO, OH 43623-4461
(419) 473-6622
(419) 473-6627
Mailing address
3740 W SYLVANIA AVE, SUITE 103, TOLEDO, OH 43623-4461
(419) 473-6622
(419) 473-6627
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
02/18/2008
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