American Vein Institute Llc | |
10020 Dupont Circle Ct Ste 140 Fort Wayne IN 46825-1621 | |
(260) 418-2427 | |
(260) 489-4188 |
Full Name | American Vein Institute Llc |
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Speciality | Surgery - Vascular Surgery |
Location | 10020 Dupont Circle Ct Ste 140, Fort Wayne, Indiana |
Authorized Official Name and Position | David Li (OWNER) |
Authorized Official Contact | 2604182427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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American Vein Institute Llc 10020 Dupont Circle Ct Ste 140 Fort Wayne IN 46825-1621 Ph: (260) 418-2427 | American Vein Institute Llc 10020 Dupont Circle Ct Ste 140 Fort Wayne IN 46825-1621 Ph: (260) 418-2427 |
NPI Number | 1487196424 |
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Provider Enumeration Date | 11/08/2016 |
Last Update Date | 11/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487196424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
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