# MIDWEST VASCULAR & VARICOSE VEIN CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1255492203
- **Authorized official:** MR. INNOCENT N UBUNAMA D.O. (PRESIDENT)
- **Authorized official phone:** (419) 866-2000

## Contact information

- **Practice address:** 7100 ORCHARD CENTER DR, HOLLAND, OH 43528
- **Practice address phone:** (419) 866-2000
- **Practice address fax:** (419) 866-2010
- **Mailing address:** 7100 ORCHARD CENTER DR, HOLLAND, OH 43528
- **Mailing address phone:** (419) 866-2000
- **Mailing address fax:** (419) 866-2010

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 11/21/2024