NPI: 1649468364
Provider Name: SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC
Doing Business As: SOUTHG BEND VEIN CENTER,LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization
Specialization: Vascular Surgery
Address:
2025 EDISON RD
SOUTH BEND, IN
ZIP 46637
Phone: (574) 232-5831
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SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC is a vascular surgery surgery in South Bend, 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. SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC NPI is 1649468364. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southg Bend Vein Center,llc.
The provider's business location address is:
2025 EDISON RD
SOUTH BEND, IN
ZIP 46637-599
Phone: (574) 232-5831
Fax: (574) 968-0120
The provider's authorized official is John W Oren .
The authorized official title is Physician and has the following contact phone number (574) 232-5831.
The enumeration date for this NPI number is 10/9/2007 and was last updated on 12/20/2010.