Organization
INDIANA VEIN SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN MAZDAI (OWNER)
(765) 825-4134
Entity
Organization
Contact information
Practice address
1475 E STATE ROAD 44, CONNERSVILLE, IN 47331-8292
(765) 825-8686
Mailing address
PO BOX 779, CONNERSVILLE, IN 47331-0779
(765) 827-1903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/20/2006
Last updated
08/22/2020
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