Organization
PROMEDICA CENTRAL PHYSICIANS LLC
Active
Other names
Anita Antoniolli MD
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L DWYER (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
2121 HUGHES DR, SUITE 710, TOLEDO, OH 43606-3845
(419) 291-2610
(419) 480-6655
Mailing address
2121 HUGHES DR, SUITE 710, TOLEDO, OH 43606-3845
(419) 291-2610
(419) 480-6655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OH
Other
Enumeration date
08/12/2011
Last updated
10/16/2013
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