| NPI | 1316184526 |
|---|---|
| Doing Business As | VASCULAR AND ENDOVASCULAR SURGICAL PROVIDERS AT MCW |
| Entity Type | Organization |
| Authorized Contact | BRITTANY N MOYER Implementation Specialist 614-546-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |