Promedica Central Physicians LLC
Promedica Central Physicians LLC is a Pediatric Gastroenterology Physician in Monroe, Michigan. Licensed in Michigan. Registered with an NPI since 2012.
- Licensed in
- MI
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
730 N Macomb St Ste 300Monroe, MI 48162-2900
Phone: (419) 291-7010
Fax: (419) 479-6917
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Gastroenterology Physician (primary) | Taxonomy 2080P0206X (MI) |
|---|
Record details
| NPI number | 1083959522 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristin Knueven — Credentialing Supervisor · (567) 585-1969 |
| Other names | Promedica Children'S Specialties; Promedica Children'S Specialties |
| NPI enumerated | December 11, 2012 |
| Last updated in NPPES | February 5, 2021 |
| Certification date | February 5, 2021 |
| Mailing address | 730 N Macomb St, Suite 300, Monroe, MI 48162-2900 |