Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Promedica Central Corporation of Michigan

Organization Anesthesiology Physician · NPI 1588624696

Promedica Central Corporation of Michigan is an Anesthesiology Physician in Toledo, Ohio. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
11
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Practice location Address checks out

100 Madison Ave MSC-S38805
Toledo, OH 43604
Phone: (844) 373-0871
Fax: (419) 885-3921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (MI)
Anesthesiology Physician Taxonomy 207L00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X (MI)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X (MI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X (MI)
Otolaryngology Physician Taxonomy 207Y00000X (MI)
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X (MI)
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1588624696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Wines — Director, System Credentialing · (567) 585-0422
NPI enumeratedMarch 23, 2006
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address100 Madison Ave, Msc-S38805, Toledo, OH 43604

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