NPI | 1013143635 |
---|---|
Doing Business As | NERUOLOGY CLINIC - BON SECOURS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KIMBERLY M RALSTON System Director 419-996-5119 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101235914) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: VA 0101235914) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2022-05-05 |