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Organization

PROMEDICA CENTRAL PHYSICIANS

Active
Other names
Patrick White MD and Jose Parodi MD
Organization subpart
No

Provider details

NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization

Contact information

Practice address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 330-2740
Mailing address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 330-2740

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OH

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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