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
2751 BAY PARK DR, SUITE 305, OREGON, OH 43616-4921
(419) 690-7689
(419) 697-7323
Mailing address
2751 BAY PARK DR, SUITE 305, OREGON, OH 43616-4921
(419) 690-7689
(419) 697-7323
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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