# SOUTH BEND VEIN CENTER FOR EXCELLLENCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southg Bend Vein Center,LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649468364
- **Authorized official:** DR. JOHN W OREN M.D. (PHYSICIAN)
- **Authorized official phone:** (574) 232-5831

## Contact information

- **Practice address:** 2025 EDISON RD, SOUTH BEND, IN 46637-5599
- **Practice address phone:** (574) 232-5831
- **Practice address fax:** (574) 968-0120
- **Mailing address:** 2025 EDISON RD, SUITE B, SOUTH BEND, IN 46637-5599
- **Mailing address phone:** (574) 232-5831
- **Mailing address fax:** (574) 968-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 01030418A | IN | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 12/20/2010