Organization
CENTER FOR ADVANCED VEIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA STILLER MD (PRESIDENT)
(440) 710-1140
Entity
Organization
Contact information
Practice address
7200 MENTOR AVENUE, MENTOR, OH 44060
(440) 710-1140
Mailing address
7200 MENTOR AVENUE, MENTOR, OH 44060
(440) 710-1140
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35074522
OH
Other
Enumeration date
03/17/2014
Last updated
09/09/2015
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