Organization
PROMEDICA CENTRAL PHYSICIANS LLC
Active
Other names
Jake P. Heiney MD
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
2109 HUGHES DR, SUITE 840, TOLEDO, OH 43606-3856
(419) 291-5900
(419) 480-6151
Mailing address
2109 HUGHES DR, SUITE 840, TOLEDO, OH 43606-3856
(419) 291-5900
(419) 480-6151
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
OH
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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