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DECATUR VEIN CLINIC MICHIGAN PC NPI 1093881385


NPI Information

NPI: 1093881385
Provider Name: DECATUR VEIN CLINIC, MICHIGAN, PC

Doing Business As: DECATUR VEIN CLINIC

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
645 W CARMEL DR
SUITE 101
CARMEL, IN
ZIP 46032
Phone: (317) 218-2800
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DECATUR VEIN CLINIC, MICHIGAN, PC is a vascular surgery surgery in Carmel, IN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DECATUR VEIN CLINIC, MICHIGAN, PC NPI is 1093881385. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Decatur Vein Clinic.

The provider's business location address is:

645 W CARMEL DR
SUITE 101
CARMEL, IN
ZIP 46032-605
Phone: (317) 218-2800
Fax: (800) 958-1194

The provider's authorized official is David R Decatur .
The authorized official title is Ceo and has the following contact phone number (317) 218-2800.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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