| Promedica Central Physicians, Llc | |
|
1990 County Road U Metamora OH 43540-9717 | |
| (419) 644-4818 | |
| (419) 644-2589 |
| Full Name | Promedica Central Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1990 County Road U, Metamora, Ohio |
| Authorized Official Name and Position | Kenya Dixon (CREDENTIALING ASSISTANT) |
| Authorized Official Contact | 4198247288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedica Central Physicians, Llc 1990 County Road U Metamora OH 43540-9717 Ph: (419) 644-4818 | Promedica Central Physicians, Llc 1990 County Road U Metamora OH 43540-9717 Ph: (419) 644-4818 |
| NPI Number | 1922142447 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922142447 | NPI | - | NPPES |
| 4036950012 | Other | OH | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |