Organization
NEUROSURGICAL NETWORK, INC.
Active
Organization
NEUROSURGICAL NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND LAWRENCE M.D. (PRESIDENT)
(419) 794-3475
Entity
Organization
Contact information
Practice address
702 COMMERCE DR, SUITE 100, PERRYSBURG, OH 43551-5239
(419) 794-3475
Mailing address
702 COMMERCE DR, SUITE 100, PERRYSBURG, OH 43551-5239
(419) 794-3475
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962442442
NPI
OH
01
—
9933954
PTAN
OH
Enumeration date
06/06/2006
Last updated
02/11/2015
Update your record
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