| Sutherland Neurology, Inc | |
|
165 W Center St # 401 Marion OH 43302-3742 | |
| (740) 382-4121 | |
| Not Available |
| Full Name | Sutherland Neurology, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 165 W Center St, Marion, Ohio |
| Authorized Official Name and Position | Stephen R Sutherland (OWNER) |
| Authorized Official Contact | 7403824121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutherland Neurology, Inc 165 W Center St # 401 Marion OH 43302-3742 Ph: (740) 382-4121 | Sutherland Neurology, Inc 165 W Center St # 401 Marion OH 43302-3742 Ph: (740) 382-4121 |
| NPI Number | 1053598565 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053598565 | NPI | - | NPPES |
| 0625658 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35-053397 (Ohio) | Primary |
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