PROMEDICA CENTRAL PHYSICIANS LLC NPI 1477694891

NPI Details

PROMEDICA CENTRAL PHYSICIANS, LLC is an obstetrics gynecology in Maumee, 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 1477694891. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maumee Ob-gyn Assoicates.

The provider's business location address is:

660 BEAVER CREEK CIR
SUITE 200
MAUMEE, OH
ZIP 43537-745
Phone: (419) 891-6201
Fax: (419) 893-1227

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

The CLIA number assigned to this NPI record is 36D0669865 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/21/2022.

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: