Vein Clinic PA
NPI #1669534608 in Chanhassen, Minnesota
Provider Information
- NPI Number
- 1669534608
- Entity Type
- Organization
- Organization Name
- Vein Clinic PA
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 470 W 78TH ST
- Address 2
- STE 250
- City
- Chanhassen
- State
- Minnesota
- ZIP Code
- 55317
- Phone
- (952) 934-3296
Authorized Official
- Name
- CHARLES RUSSELL HEAGLE, MD
- Title
- PRESIDENT OWNER
- Phone
- (952) 934-3296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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