| 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 |