Promedica Central Physicians Llc, NPI 1083959522
Pediatric Gastroenterology Physician in Monroe, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1083959522
NPI Entity Type Organization
Provider Name Promedica Central Physicians Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 730 N Macomb St, Suite 300, Monroe, MI, US
Provider Mailing Address 730 N Macomb St, Suite 300, Monroe, MI, US, 481622900
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Kristin Knueven
Official Position CREDENTIALING SUPERVISOR
Phone 567-585-1969

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2080P0206X

Taxonomy Name Pediatric Gastroenterology Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License State MI
Description A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Other Organization Name

ProMedica Children's Specialties
Doing Business As

Business Address

Promedica Central Physicians Llc
730 N Macomb St
Suite 300

Monroe, MI, US

Phone: 419-291-7010
Fax: 419-479-6917

Mailing Address

Promedica Central Physicians Llc
730 N Macomb St
Suite 300
Monroe, MI, US
ZIP 481622900
Phone: 419-291-7010
Fax: 419-479-6917

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