Organization
MIDWEST NEUROLOGICAL P.C.
Active
Other names
Midwest Neurological Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEM FRAZEE (ADMINISTRATOR)
(812) 476-7523
Entity
Organization
Contact information
Practice address
1312 PROFESSIONAL BLVD STE 201, EVANSVILLE, IN 47714-8007
(812) 476-7523
(812) 476-6686
Mailing address
1312 PROFESSIONAL BLVD STE 201, EVANSVILLE, IN 47714-8007
(812) 476-7523
(812) 476-6686
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
50003893A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100329890A
—
IN
05
—
200187610A
—
IN
05
—
200271070A
—
IN
05
—
200271080A
—
IN
Enumeration date
07/28/2005
Last updated
04/22/2019
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