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Organization
MIDWEST VASCULAR INSTITUTE INC
Active
Organization
MIDWEST VASCULAR INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIEL MOSHFEGH MD (PRESIDENT)
(866) 512-6992
Entity
Organization
Contact information
Practice address
3405 6TH ST, BROOKINGS, SD 57006-4417
(866) 512-6992
(760) 300-3576
Mailing address
3405 6TH ST, BROOKINGS, SD 57006-4417
(866) 512-6992
(760) 300-3576
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
10372
SD
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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