Organization
VEIN CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMEER GUPPTA MD (OWNER)
(952) 641-4472
Entity
Organization
Contact information
Practice address
13954 CYPRESS DR, SUITE 102, BAXTER, MN 56425-8810
(218) 316-3001
Mailing address
2801 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2125
(218) 454-0095
(952) 934-5728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46358
MN
Other
Enumeration date
08/15/2011
Last updated
04/21/2014
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