Organization
PREMIER VEIN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRACK JR. (CHIEF OPERATING OFFICER)
(269) 388-4706
Entity
Organization
Contact information
Practice address
1535 GULL ROAD, SUITE 200, KALAMAZOO, MI 49048
(269) 585-8346
(269) 388-6360
Mailing address
1535 GULL ROAD, SUITE 200, KALAMAZOO, MI 49048
(269) 585-8346
(269) 388-6360
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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