Organization
PROMEDICA CENTRAL PHYSCIANS, LLC
Active
Organization
PROMEDICA CENTRAL PHYSCIANS, LLC
Active
Other names
Endocrine and Diabetes Care Center, INC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KNUEVEN (CREDENTIALING SUPERVISOR)
(567) 585-1969
Entity
Organization
Contact information
Practice address
3140 W CENTRAL AVE, TOLEDO, OH 43606-2920
(419) 537-5111
(419) 537-5131
Mailing address
3140 W CENTRAL AVE, TOLEDO, OH 43606-2920
(419) 537-5111
(419) 537-5131
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
02/05/2021
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