Organization
PREMIER VEIN AND VASCULAR CARE LLC
Active
Other names
Solon Vein Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MIREILLE MOISE (PRESIDENT)
(216) 502-6237
Entity
Organization
Contact information
Practice address
33290 BAINBRIDGE RD, SOLON, OH 44139-2802
(440) 561-0994
Mailing address
6112 PENFIELD LN, SOLON, OH 44139-5936
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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