NPI: 1063691269
Provider Name: PROMEDICA CENTRAL PHYSCIANS, LLC
Doing Business As: ENDOCRINE AND DIABETES CARE CENTER, INC
Classification: Pediatrics - 2080P0205X
Entity Type: Organization
Specialization: Pediatric Endocrinology
CLIA Number: 36D2272267
Address:
3140 W CENTRAL AVE
TOLEDO, OH
ZIP 43606
Phone: (419) 537-5111
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PROMEDICA CENTRAL PHYSCIANS, LLC is a pediatric endocrinology pediatrics in Toledo, OH. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PROMEDICA CENTRAL PHYSCIANS, LLC NPI is 1063691269. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Endocrine And Diabetes Care Center, Inc.
The provider's business location address is:
3140 W CENTRAL AVE
TOLEDO, OH
ZIP 43606-920
Phone: (419) 537-5111
Fax: (419) 537-5131
The provider's authorized official is Kristin Knueven .
The authorized official title is Credentialing Supervisor and has the following contact phone number (567) 585-1969.
The CLIA number assigned to this NPI record is 36D2272267 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/24/2007 and was last updated on 2/5/2021.