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Organization
PREMIER VEIN AND VASCULAR CARE LLC
Active
Organization
PREMIER VEIN AND VASCULAR CARE LLC
Active
Other names
Solon Vein Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MIREILLE MOISE (PRESIDENT)
(216) 502-6237
Entity
Organization
Contact information
Practice address
33290 BAINBRIDGE RD, SOLON, OH 44139-2802
(440) 561-0994
Mailing address
6112 PENFIELD LN, SOLON, OH 44139-5936
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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