institution
Vascular Center & Vein Clinic Of Southern Indiana
Vascular Surgery Physician in Bloomington, Indiana
NPI 1346369287

Vascular Center & Vein Clinic Of Southern Indiana is a Vascular Surgery Physician based in Bloomington, IN and is specialized in Vascular Surgery. Vascular Center & Vein Clinic Of Southern Indiana practices in Bloomington, IN. The NPI Number for Vascular Center & Vein Clinic Of Southern Indiana is 1346369287 and holds a License No. 01062063A (Indiana).

The current practice location address for Vascular Center & Vein Clinic Of Southern Indiana is 815 W 2Nd St, Bloomington, IN and can be reached out via phone at 812-336-4947 and via fax at 812-339-6947.

Location: 815 W 2Nd St, Bloomington, IN, 47403-2212
institution
Provider Profile Details
NPI Number
1346369287
Provider Name
Vascular Center & Vein Clinic Of Southern Indiana
Credential
Provider Entity Type
Organization
Address
815 W 2Nd St, Bloomington, IN, 47403-2212
Phone Number
812-336-4947
Fax Number
812-339-6947
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DF9011 01 IN MEDICARE RAILROAD GROUP
250940 01 IN MEDICARE GROUP
250940A 01 IN MEDICARE INDIVIDUAL
517966 01 IN ANTHEM
200818170A 01 IN MEDICAID INDIVIDUAL
P00400660 01 IN MEDICARE RAILROAD INDIVIDUAL
200818170 01 IN MEDICAID GROUP
institution
Provider Business Practice Location Address Details
Address
815 W 2Nd St
City
State
Zip
47403-2212
Phone Number
812-336-4947
Fax Number
812-339-6947
person
Provider Business Mailing Address Details
Address
815 W 2Nd St
City
State
Zip
47403-2212
Phone Number
812-336-4947
Fax Number
812-339-6947
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
01062063A (Indiana)
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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