Organization
RESTORATION VEIN CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. HEIDENREICH MD (AUTHORIZED SIGNER)
(734) 712-4310
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE 4016, YPSILANTI, MI 48197-1014
(734) 712-4310
Mailing address
5333 MCAULEY DR, SUITE 4016, YPSILANTI, MI 48197-1014
(734) 712-4310
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H113610
BCBS
MI
Enumeration date
06/01/2006
Last updated
07/20/2016
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