# PREMIER VEIN AND VASCULAR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Solon Vein Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194373704
- **Authorized official:** MIREILLE MOISE (PRESIDENT)
- **Authorized official phone:** (216) 502-6237

## Contact information

- **Practice address:** 33290 BAINBRIDGE RD, SOLON, OH 44139-2802
- **Practice address phone:** (440) 561-0994
- **Mailing address:** 6112 PENFIELD LN, SOLON, OH 44139-5936

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2019
- **Last updated:** 08/27/2019