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Organization
SIOUXLAND VEIN CENTER PC
Active
Organization
SIOUXLAND VEIN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WADE NIELSEN MD (MD)
(712) 271-8346
Entity
Organization
Contact information
Practice address
4630 SINGING HILLS BLVD, SIOUX CITY, IA 51106-9702
(712) 271-8346
(712) 271-8347
Mailing address
4630 SINGING HILLS BLVD, SIOUX CITY, IA 51106-9702
(712) 271-8346
(712) 271-8347
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
30608
IA
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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