Organization
PROMEDICA CENTRAL PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE MCCUNE (CREDENTIALING COORDINATOR)
(567) 585-1964
Entity
Organization
Contact information
Practice address
217 GOLDEN GATE PLZ, MAUMEE, OH 43537-2881
(567) 585-0210
(419) 794-4604
Mailing address
217 GOLDEN GATE PLZ, MAUMEE, OH 43537-2881
(567) 585-0210
(419) 794-4604
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
07/21/2022
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