Organization
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
Active
Other names
Cardiocare Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
1250 RALSTON AVE, SUITE 203A, DEFIANCE, OH 43512-5311
(419) 783-6895
(419) 782-4459
Mailing address
1250 RALSTON AVE, SUITE 203A, DEFIANCE, OH 43512-5311
(419) 783-6895
(419) 782-4459
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
OH
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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