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Organization

SUTHERLAND NEUROLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN R SUTHERLAND M.D. (OWNER)
(740) 382-4121
Entity
Organization

Contact information

Practice address
165 W CENTER ST, # 401, MARION, OH 43302-3742
(740) 382-4121
Mailing address
165 W CENTER ST, # 401, MARION, OH 43302-3742
(740) 382-4121

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-053397
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0625658
OH
Enumeration date
01/28/2008
Last updated
02/03/2011
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