Organization
PROMEDICA CENTRAL PHYSICIANS
Active
Organization
PROMEDICA CENTRAL PHYSICIANS
Active
Other names
Mark G Loomus MD
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
1601 BRIGHAM DR, SUITE 150, PERRYSBURG, OH 43551-7114
(419) 872-7246
(419) 872-3754
Mailing address
1601 BRIGHAM DR, SUITE 150, PERRYSBURG, OH 43551-7114
(419) 872-7246
(419) 872-3754
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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