Organization
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
734 S SHOOP AVE, SUITE B, WAUSEON, OH 43567-1707
(419) 337-9995
(419) 337-9994
Mailing address
734 S SHOOP AVE, SUITE B, WAUSEON, OH 43567-1707
(419) 337-9995
(419) 337-9994
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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