| NPI | 1023486867 |
|---|---|
| Doing Business As | NORTHERN MICHIGAN VEIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BRIAN D HEERINGA Owner/President 231-946-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2017-05-02 |