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Organization
MIDWEST VASCULAR & VARICOSE VEIN CENTER LLC
Active
Organization
MIDWEST VASCULAR & VARICOSE VEIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. INNOCENT N UBUNAMA D.O. (PRESIDENT)
(419) 866-2000
Entity
Organization
Contact information
Practice address
7100 ORCHARD CENTER DR, HOLLAND, OH 43528
(419) 866-2000
(419) 866-2010
Mailing address
7100 ORCHARD CENTER DR, HOLLAND, OH 43528
(419) 866-2000
(419) 866-2010
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
11/21/2024
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