Organization
WESTERN RESERVE VASCULAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH G PROTAIN D.O (DR.)
(330) 953-3515
Entity
Organization
Contact information
Practice address
813 KENTWOOD DR, BOARDMAN, OH 44512-5004
(330) 953-3515
(330) 953-0313
Mailing address
813 KENTWOOD DR, BOARDMAN, OH 44512-5004
(330) 953-3515
(330) 953-0313
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
34-008446
OH
2086S0129X
Vascular Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2688846
—
OH
Enumeration date
07/30/2008
Last updated
06/06/2014
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