Organization
PROMEDICA MONROE CARDIOLOGY, PLLC
Active
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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