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Organization

INTEGRAL VEIN INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC V BOSTICK SR. M.D. (PRESIDENT)
(419) 425-5651
Entity
Organization

Contact information

Practice address
655 FOX RUN RD, SUITE E, FINDLAY, OH 45840-8401
(419) 425-5651
Mailing address
PO BOX 270, LIMA, OH 45802-0270
(419) 224-5707

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
03/10/2010
Last updated
07/07/2011
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