Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Other names
West Toledo General Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A GOVAN (CREDENTIALING SPECIALIST)
(419) 824-7221
Entity
Organization
Contact information
Practice address
2109 HUGHES DR, SUITE 220, TOLEDO, OH 43606-3856
(419) 291-5150
(419) 479-6173
Mailing address
2109 HUGHES DR, SUITE 220, TOLEDO, OH 43606-3856
(419) 291-5150
(419) 479-6173
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0999273
—
OH
Enumeration date
02/20/2007
Last updated
07/21/2022
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