Vein Centers Of Northwest In

NPI 1124051735 - Surgery - 2086S0129X

NPI Details
NPI 1124051735
Enumeration Date 07/08/2006
Last Updated 03/22/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MATEO V. MATEO
Position PRESIDENT
Phone (219) 836-1555
Fax
Practice Location
9305 CALUMET AVE
SUITE E-2
MUNSTER IN, 46321-2887, US
Phone (219) 836-1555
Fax
Business Location
9201 CALUMET AVE
MUNSTER IN, 46321-2807, US
Phone (219) 836-2022
Fax
Toxanomy
Taxonomy Code 2086S0129X
License State Indiana
License Number 01035781A
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According to our database, Vein Centers Of Northwest In NPI is 1124051735, taxonomy code is 2086S0129X and license number is 01035781A, license state is located at Indiana. Vein Centers Of Northwest In physically located at 9305 Calumet Ave, Munster IN, 46321-2887. NPI Number 1033115704 has the healthcare provider type.

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1124051735 NPI number is provided on an as is basis without warranty of any kind. 1124051735 is maintained by the National Plan & Provider Enumeration System. The contents of Vein Centers Of Northwest In are for informational purposes only.