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Organization

PROMEDICA CENTRAL PHYSICIANS

Active
Other names
ProMedica Physicians Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA R MARSHALL (CREDENTIALING SPECIALIST)
(567) 585-1997
Entity
Organization

Contact information

Practice address
1 SEAGATE, SUITE 800, TOLEDO, OH 43604
(567) 585-1997
(419) 824-7359
Mailing address
1 SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
(567) 585-1997
(419) 824-7359

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
MI
152W00000X
Optometrist
OH
207W00000X
Ophthalmology Physician
Primary
MI
207W00000X
Ophthalmology Physician
OH

Other

Enumeration date
08/13/2014
Last updated
08/27/2018
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