| NPI | 1851391262 |
|---|---|
| Former Legal Business Name | MIDWEST NEUROLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | KEM FRAZEE Administrator 812-476-7523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 50003893A) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-04-22 |