Organization
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTAILING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
730 N MACOMB ST, SUITE 429, MONROE, MI 48162-2900
(734) 242-7060
(734) 241-7580
Mailing address
730 N MACOMB ST, SUITE 429, MONROE, MI 48162-2900
(734) 242-7060
(734) 241-7580
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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