Decatur Vein Clinic, Michigan, PC
NPI #1427050046 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1427050046
- Entity Type
- Organization
- Organization Name
- Decatur Vein Clinic, Michigan, PC
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Aug 12, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3152 PEREGRINE DR NE
- Address 2
- 100
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49525-9723
- Phone
- (616) 447-0707
Authorized Official
- Name
- DAVID R DECATUR, MD
- Title
- CEO
- Phone
- (317) 218-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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