PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC NPI 1902185655

NPI Information

PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC is a cardiovascular disease internal medicine in Fremont, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC NPI is 1902185655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

715 S TAFT AVE
SUITE 195
FREMONT, OH
ZIP 43420-200
Phone: (419) 333-9533
Fax: (419) 333-9537

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

The CLIA number assigned to this NPI record is 36D2087379 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/12/2011.

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:

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