Organization
NORTHEASTERN OHIO NEUROSURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLIS A. MIKER MBA (PRACTICE ADMINISTRATOR)
(440) 975-5575
Entity
Organization
Contact information
Practice address
2785 SOM CENTER RD, WILLOUGHBY, OH 44094-9139
(440) 975-5575
(440) 944-0920
Mailing address
2785 SOM CENTER RD, WILLOUGHBY, OH 44094-9139
(440) 975-5575
(440) 944-0920
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468351
—
OH
Enumeration date
03/01/2007
Last updated
08/22/2020
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