Organization
ATLANTA LASER VEIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN KATSNELSON MD (OWNER/PHYSICIAN)
(847) 593-8460
Entity
Organization
Contact information
Practice address
1050 E PIEDMONT RD, SUITE 104, MARIETTA, GA 30062-4758
(847) 305-3346
(224) 246-8042
Mailing address
PO BOX 1602, NORTHBROOK, IL 60065-1602
(847) 593-8460
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/22/2022
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