Vein Clinic PA

NPI #1629357199 in Baxter, Minnesota

Provider Information

NPI Number: 1629357199
Entity Type: Organization
Organization Name: Vein Clinic PA
Primary Specialty: Specialist
Enumeration Date: Aug 15, 2011
Last Updated: Apr 21, 2014

Practice Location

Address: 13954 CYPRESS DR
Address 2: SUITE 102
City: Baxter
State: Minnesota
ZIP Code: 56425-8810
Phone: (218) 316-3001

Authorized Official

Name: DR. SAMEER GUPPTA, MD
Title: OWNER
Phone: (952) 641-4472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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