# DECATUR VEIN CLINIC, MICHIGAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Decatur Vein Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679689541
- **Authorized official:** DAVID R DECATUR MD (CEO)
- **Authorized official phone:** (317) 218-2800

## Contact information

- **Practice address:** 1669 HAMILTON RD, SUITE 220, OKEMOS, MI 48864-1956
- **Practice address phone:** (517) 381-1000
- **Practice address fax:** (517) 381-8751
- **Mailing address:** PO BOX 4237, CARMEL, IN 46082-4237
- **Mailing address phone:** (317) 218-2800
- **Mailing address fax:** (317) 818-8919

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/22/2020