PROMEDICA CENTRAL PHYSICIANSLLC NPI 1285826156

NPI Information

PROMEDICA CENTRAL PHYSICIANS,LLC is an obstetrics gynecology in Perrysburg, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROMEDICA CENTRAL PHYSICIANS,LLC NPI is 1285826156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 BRIGHAM DR
SUITE 250A
PERRYSBURG, OH
ZIP 43551-114
Phone: (419) 872-7760
Fax: (419) 874-8657

The provider's authorized official is Kimberly Govan .
The authorized official title is Credentialing Coordinator and has the following contact phone number (419) 824-7221.

The CLIA number assigned to this NPI record is 36D0331445 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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