Organization · Type 2 NPI

Promedica Central Physicians LLC

Pediatric Gastroenterology Physician · Monroe, MI

NPI number 1083959522 Active

Practice location

730 N Macomb St, Suite 300
Monroe, MI 48162-2900

Fax (419) 479-6917

Specialties and licenses

Taxonomy	Code	License
Pediatric Gastroenterology Physician Primary	2080P0206X	None listed

Pediatric Gastroenterology Physician: 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.

21 other providers at this address

NPI record

NPI: 1083959522
Entity type: Organization (Type 2)
Issued: Dec 11, 2012
Last updated: Feb 5, 2021
Status: Active

Other names

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Promedica Children's Specialties · doing business as
Promedica Children's Specialties · doing business as

Authorized official

Kristin Knueven
Credentialing Supervisor
(567) 585-1969

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083959522

Promedica Central Physicians LLC's National Provider Identifier is 1083959522, issued on Dec 11, 2012. The primary taxonomy on file is Pediatric Gastroenterology Physician (2080P0206X), and the practice location is in Monroe, MI. The record was last updated on Feb 5, 2021.