Organization
SUTHERLAND NEUROLOGY, INC
Active
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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