Organization
VEIN CARE ASSOCIATES S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMEER GUPTA MD (PRESIDENT CEO)
(800) 955-8346
Entity
Organization
Contact information
Practice address
215 CORPORATE DRIVE, SUITE H, BEAVER DAM, WI 53916-3124
(920) 887-7731
(888) 389-5033
Mailing address
2801 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2125
(800) 955-8346
(952) 934-5728
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
56238-020
WI
261QM2500X
Medical Specialty Clinic/Center
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Other
Enumeration date
02/27/2013
Last updated
05/20/2014
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