Organization
PROMEDICA CENTRAL PHYSICIANS
Active
Other names
Toledo Pulmonary and Sleep Specialists
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 106, DEFIANCE, OH 43512-5311
(419) 783-6931
(419) 479-2696
Mailing address
1250 RALSTON AVE, SUITE 106, DEFIANCE, OH 43512-5311
(419) 783-6931
(419) 479-2696
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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