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
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
(419) 732-8217
Mailing address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
(419) 732-8217
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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