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Western Reserve Vascular Institute
Vascular Surgery Physician in Boardman, Ohio
NPI 1104082031

Western Reserve Vascular Institute is a Vascular Surgery Physician based in Boardman, OH and is specialized in Vascular Surgery. Western Reserve Vascular Institute practices in Boardman, OH. The NPI Number for Western Reserve Vascular Institute is 1104082031 and holds a License No. 34-008446 (Ohio).

The current practice location address for Western Reserve Vascular Institute is 813 Kentwood Dr, Boardman, OH and can be reached out via phone at 330-953-3515 and via fax at 330-953-0313.

Location: 813 Kentwood Dr, Boardman, OH, 44512-5004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104082031
Provider Name
Western Reserve Vascular Institute
Credential
Provider Entity Type
Organization
Address
813 Kentwood Dr, Boardman, OH, 44512-5004
Phone Number
330-953-3515
Fax Number
330-953-0313
Provider Enumeration Date
07/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2688846 05 OH
institution
Provider Business Practice Location Address Details
Address
813 Kentwood Dr
City
Boardman
State
Ohio
Zip
44512-5004
Phone Number
330-953-3515
Fax Number
330-953-0313
person
Provider Business Mailing Address Details
Address
813 Kentwood Dr
City
Boardman
State
Ohio
Zip
44512-5004
Phone Number
330-953-3515
Fax Number
330-953-0313
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
34-008446 (Ohio)
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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