NPI Provider: 1598824088
Contact Name: Miller J William
Position: President
Phone: (419) 756-0011
Vascular & Endovascular Spec Information:
Vascular & Endovascular Spec organization have npi 1598824088, taxonomy code is 174400000X with license number is in . This Business address located in 370 Cline Ave, Mansfield, OH 44907 Ohio.
Practice Location
Address: 370 Cline Ave, Mansfield, OH 44907
Phone: (419) 756-0011
Business Location
Address: 370 Cline Ave, Mansfield, OH 44907
Phone: (419) 756-0011
Taxonomy
Taxonomy Code: 174400000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 12/8/2006
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