Vein Clinic PA

NPI #1265781629 in Minneapolis, Minnesota

Provider Information

NPI Number: 1265781629
Entity Type: Organization
Organization Name: Vein Clinic PA
Primary Specialty: Specialist
Enumeration Date: Aug 31, 2012
Last Updated: Aug 31, 2012

Practice Location

Address: 2801 WAYZATA BLVD
City: Minneapolis
State: Minnesota
ZIP Code: 55405-2138
Phone: (952) 934-3296

Authorized Official

Name: DR. SAMEER GUPTQA, MD
Title: PRESIDENT/CEO
Phone: (952) 934-3296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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