Decatur Vein Clinic, Michigan, Pc in Grand Rapids - Vascular Surgery

Decatur Vein Clinic, Michigan, Pc - NPI 1427050046

Decatur Vein Clinic, Michigan, Pc is a Vascular Surgery in Grand Rapids, Michigan. Decatur Vein Clinic, Michigan, Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Decatur Vein Clinic, Michigan, Pc is 1427050046. The last update date is 2020-08-22.

Decatur Vein Clinic, Michigan, Pc's current location address is 3152 Peregrine Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164470707. The mailing address for Decatur Vein Clinic, Michigan, Pc is 3152 Peregrine Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Decatur Vein Clinic, Michigan, Pc
Address 3152 Peregrine Dr Ne, Grand Rapids, Michigan
Phone Number 6164470707
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Decatur R David
Credentials MD
Telephone Number 3172182800

NPI Number Detail

NPI Number 1427050046
Provider Enumeration Date 2005-08-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3152 Peregrine Dr Ne
City Grand Rapids
State Michigan (MI)
Post Code 495259723
Phone Number 6164470707
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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FAQs about Decatur Vein Clinic, Michigan, Pc

What is the unique 10-digit identification code issued to Decatur Vein Clinic, Michigan, Pc by the Centers for Medicare & Medicaid Services?

The Decatur Vein Clinic, Michigan, Pc has been assigned the NPI (National Provider Identifier) 1427050046 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Decatur Vein Clinic, Michigan, Pc's physical address?

The Decatur Vein Clinic, Michigan, Pc is physically located at 3152 Peregrine Dr Ne, in the city of Grand Rapids, MI, with the postal code 495259723.

What is the Decatur Vein Clinic, Michigan, Pc's area of specialization and corresponding taxonomy classification?

The Decatur Vein Clinic, Michigan, Pc's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.

On what date did Decatur Vein Clinic, Michigan, Pc receive its 1427050046 assignment from the Centers for Medicare & Medicaid Services?

The Decatur Vein Clinic, Michigan, Pc was assigned its 1427050046 on 2005-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Decatur Vein Clinic, Michigan, Pc most recently updated or refreshed?

The details pertaining to the Decatur Vein Clinic, Michigan, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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