# RESTORATION VEIN CARE, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063459659
- **Authorized official:** MR. MICHAEL J. HEIDENREICH MD (AUTHORIZED SIGNER)
- **Authorized official phone:** (734) 712-4310

## Contact information

- **Practice address:** 5333 MCAULEY DR, SUITE 4016, YPSILANTI, MI 48197-1014
- **Practice address phone:** (734) 712-4310
- **Mailing address:** 5333 MCAULEY DR, SUITE 4016, YPSILANTI, MI 48197-1014
- **Mailing address phone:** (734) 712-4310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 07/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0H113610 | BCBS | MI |