Organization
MIDWEST NEUROSURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK STEPHANIAN M.D. (OWNER)
(812) 238-4467
Entity
Organization
Contact information
Practice address
1530 N. 7TH STREET, SUITE 106, TERRE HAUTE, IN 47807
(812) 238-4467
(812) 238-4469
Mailing address
1530 N. 7TH STREET, SUITE 106, TERRE HAUTE, IN 47807
(812) 238-4467
(812) 238-4469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01042238A
IN
Other
Enumeration date
02/23/2009
Last updated
05/28/2010
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