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Organization

PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
2702 NAVARRE AVE, SUITE 310, OREGON, OH 43616-3223
(419) 697-0569
(419) 691-0314
Mailing address
2702 NAVARRE AVE, SUITE 310, OREGON, OH 43616-3223
(419) 697-0569
(419) 691-0314

Taxonomy

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

Other

Enumeration date
08/12/2011
Last updated
08/12/2011
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