Decatur Vein Clinic

LBN: Decatur Vein Clinic, Michigan, Pc
Decatur Vein Clinic is an health care organization with primary practice located at 3152 Peregrine Dr Ne 100, Grand Rapids MI 49525-9723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Decatur Vein Clinic, Michigan, Pc can be contacted via phone (616) 447-0707, or through Decatur, David R via phone (317) 218-2800.

Contact Information

Primary practice address
3152 Peregrine Dr Ne 100 Grand Rapids MI 49525-9723
Phone: (616) 447-0707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Decatur, David R Doctor of Medicine (MD)
Phone: (317) 218-2800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1427050046
LBN Legal business name Decatur Vein Clinic, Michigan, Pc
DBA Doing business as Decatur Vein Clinic
Authorized official Decatur, David R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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