Organization
PROMEDICA CENTRSL PHYSICIANS, LLC
Active
Other names
West Central Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA DIXON (CREDENTIALING ASSISTANT)
(419) 824-7288
Entity
Organization
Contact information
Practice address
3909 WOODLEY RD, SUITE 600, TOLEDO, OH 43606-1169
(419) 291-6760
(419) 472-4359
Mailing address
3909 WOODLEY RD, SUITE 600, TOLEDO, OH 43606-1169
(419) 291-6760
(419) 472-4359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4036950008
DMERC
OH
Enumeration date
02/20/2007
Last updated
11/29/2007
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