# PROMEDICA CENTRAL PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Toledo Pulmonary and Sleep Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891076899
- **Authorized official:** AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (419) 824-7334

## Contact information

- **Practice address:** 2109 HUGHES DR, SUITE 760, TOLEDO, OH 43606-3856
- **Practice address phone:** (419) 479-2676
- **Practice address fax:** (419) 479-2696
- **Mailing address:** 2109 HUGHES DR, SUITE 760, TOLEDO, OH 43606-3856
- **Mailing address phone:** (419) 479-2676
- **Mailing address fax:** (419) 479-2696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 09/02/2011
