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Organization

CLEARWATER VEIN CARE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN G MUENCH MD (PRESIDENT)
(208) 798-7600
Entity
Organization

Contact information

Practice address
3316 1/2 4TH ST, SUITE 4B, LEWISTON, ID 83501-4460
(208) 798-7600
(208) 798-7602
Mailing address
3316 1/2 4TH ST, SUITE 4B, LEWISTON, ID 83501-4460
(208) 798-7600
(208) 798-7602

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00045914
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001204900
ID
Enumeration date
11/08/2006
Last updated
12/16/2008
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