Organization
THE VEIN CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN MICHAELS M.D. (PARTNER)
(330) 629-9400
Entity
Organization
Contact information
Practice address
965 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5088
(330) 629-9400
(330) 629-9441
Mailing address
965 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5088
(330) 629-9400
(330) 629-9441
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-05-5300-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526658
—
OH
01
—
P00225437
MDCR RR
OH
Enumeration date
08/08/2007
Last updated
11/21/2008
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