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Organization

PROMEDICA MONROE CARDIOLOGY, PLLC

Active
Other names
ProMedica Cardiology of Monroe
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA WINES (DIRECTOR, SYSTEM CREDENTIALING)
(567) 585-0422
Entity
Organization

Contact information

Practice address
730 N MACOMB ST, SUITE 429, MONROE, MI 48162-2900
(734) 242-7060
(734) 241-7580
Mailing address
100 MADISON AVE, MSC-S38805, TOLEDO, OH 43604
(844) 373-0871
(419) 885-3921

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3126683
OH
Enumeration date
01/21/2011
Last updated
10/04/2023
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