Organization
PROMEDICA CENTRAL PHYSICIANS
Active
Other names
ProMedica Wildwood Orthopaedic and Spine Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
2901 N REYNOLDS RD, TOLEDO, OH 43615-2035
(419) 578-7700
Mailing address
2901 N REYNOLDS RD, TOLEDO, OH 43615-2035
(419) 578-7700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
OH
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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