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PROMEDICA GENITO-URINARY SURGEONS LLC NPI 1386071652


NPI Information

NPI: 1386071652
Provider Name: PROMEDICA GENITO-URINARY SURGEONS LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
970 W WOOSTER ST
SUITE 129
BOWLING GREEN, OH
ZIP 43402
Phone: (419) 353-1239
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PROMEDICA GENITO-URINARY SURGEONS LLC is an urology in Bowling Green, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PROMEDICA GENITO-URINARY SURGEONS LLC NPI is 1386071652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 W WOOSTER ST
SUITE 129
BOWLING GREEN, OH
ZIP 43402-643
Phone: (419) 353-1239
Fax: (419) 353-8364

The provider's authorized official is Amy L Dwyer .
The authorized official title is Credentialing Supervisor and has the following contact phone number (419) 824-7334.

The enumeration date for this NPI number is 10/2/2013 and was last updated on 10/2/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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