Organization
CENTER FOR VEIN RESTORATION MI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA THOMAS (CRED MANAGER)
(815) 254-1761
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE STE 300, DEARBORN, MI 48126-3555
(855) 830-8346
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(855) 830-8346
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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