Organization
MIDWEST CARDIOVASCULAR CONSUTLANTS, 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
5308 HARROUN RD, SUITE 165, SYLVANIA, OH 43560-2114
(419) 824-5162
(419) 885-3937
Mailing address
5308 HARROUN RD, SUITE 165, SYLVANIA, OH 43560-2114
(419) 824-5162
(419) 885-3937
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
OH
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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