Organization
MIDWEST NEUROSCIENCE INC
Active
Other names
THOMAS H SWANSON MD
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SWANSON MD (CEO)
(419) 663-0020
Entity
Organization
Contact information
Practice address
1 E MAIN ST STE 200A, NORWALK, OH 44857-1557
(419) 663-0020
(419) 663-1859
Mailing address
1 E MAIN ST STE 200A, NORWALK, OH 44857-1557
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0938641
—
OH
01
—
3674377
OTHER ID NUMBER
—
Enumeration date
08/02/2006
Last updated
07/20/2007
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