Organization
PROMEDICA CENTRAL PHYSICIANS
Active
Other names
Toledo Pulmonary & Sleep Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
777 KIMOLE LN, SUITE 250, ADRIAN, MI 49221-1478
(888) 593-5815
Mailing address
777 KIMOLE LN, SUITE 250, ADRIAN, MI 49221-1478
(888) 593-5815
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
MI
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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