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Organization

PROMEDICA CENTRAL PHYSICIAN, LLC

Active
Other names
Sunforest OB GYN Associates
Organization subpart
No

Provider details

NPI number
Authorized official
KENYA DIXON (CREDENTIALING ASSISTANT)
(419) 824-7288
Entity
Organization

Contact information

Practice address
3740 W SYLVANIA AVE, SUITE 103, TOLEDO, OH 43623-4461
(419) 473-6622
(419) 473-6627
Mailing address
3740 W SYLVANIA AVE, SUITE 103, TOLEDO, OH 43623-4461
(419) 473-6622
(419) 473-6627

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
02/12/2007
Last updated
02/18/2008
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