Organization
PROMEDICA CENTRAL PHYSICIANS
Active
Other names
Terry M. Gibbs, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
5308 HARROUN RD, SUITE 175, SYLVANIA, OH 43560-2114
(419) 824-5608
(419) 885-3686
Mailing address
5308 HARROUN RD, SUITE 175, SYLVANIA, OH 43560-2114
(419) 824-5608
(419) 885-3686
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40369550006
DMERC
OH
Enumeration date
02/08/2007
Last updated
07/21/2022
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