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Contact Information

PROMEDICA CENTRAL PHYSICIANS LLC
730 N MACOMB ST
SUITE 300
MONROE, MI48162-2900
 Phone: 419-291-7010
 Fax: 419-479-6917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PROMEDICA CENTRAL PHYSICIANS LLC

NPI # 1083959522
LBN Legal business name PROMEDICA CENTRAL PHYSICIANS LLC
Authorized official KRISTIN KNUEVEN - (CREDENTIALING SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2012
Last updated 02/05/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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