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
715 S TAFT AVE, SUITE 195, FREMONT, OH 43420-3200
(419) 333-9533
(419) 333-9537
Mailing address
715 S TAFT AVE, SUITE 195, FREMONT, OH 43420-3200
(419) 333-9533
(419) 333-9537
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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