| NPI | 1588091292 |
|---|---|
| Doing Business As | PROMEDICA AFTER HOURS |
| Entity Type | Organization |
| Authorized Contact | KRISTIN KNUEVEN Credentialing COO Rdinator 419-824-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |