Organization
DECATUR VEIN CLINIC, MICHIGAN, PC
Active
Other names
Decatur Vein Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R DECATUR MD (CEO)
(317) 218-2800
Entity
Organization
Contact information
Practice address
3152 PEREGRINE DR NE, 100, GRAND RAPIDS, MI 49525-9723
(616) 447-0707
Mailing address
PO BOX 4237, CARMEL, IN 46082-4237
(317) 218-2800
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/12/2005
Last updated
08/22/2020
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