DECATUR VEIN CLINIC MICHIGAN PC NPI 1427050046

NPI Information

DECATUR VEIN CLINIC, MICHIGAN, PC is a vascular surgery surgery in Grand Rapids, MI. 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 1427050046. 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:

3152 PEREGRINE DR NE
100
GRAND RAPIDS, MI
ZIP 49525-723
Phone: (616) 447-0707

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 8/12/2005 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:

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