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Organization

M&M VASCULAR TECHNOLOGIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK E MUCK MD (OWNER)
(859) 653-9584
Entity
Organization

Contact information

Practice address
2510 LEGENDS WAY, CRESTVIEW HILLS, KY 41017-2370
(859) 653-9584
(859) 586-7740
Mailing address
PO BOX 857, BURLINGTON, KY 41005-0857
(859) 653-9584
(859) 586-7740

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary

Other

Enumeration date
12/04/2009
Last updated
12/04/2009
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