Vein Centers of Northwest in

NPI #1124051735 in Munster, Indiana

Provider Information

NPI Number
1124051735
Entity Type
Organization
Organization Name
Vein Centers of Northwest in
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Jul 8, 2006
Last Updated
Mar 22, 2011

Practice Location

Address
9305 CALUMET AVE
Address 2
SUITE E-2
State
Indiana
ZIP Code
46321-2887
Phone
(219) 836-1555

Authorized Official

Name
MATEO V. GUANZON, M.D.
Title
PRESIDENT
Phone
(219) 836-2022

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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