Organization
AORTAMD LLC
Active
Other names
AortaMD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PAUL VACEK (MD)
(502) 271-0423
Entity
Organization
Contact information
Practice address
1010 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4155
(260) 203-1582
Mailing address
7888 COUNTRY VIEW LN, BROOKVILLE, OH 45309-8267
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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