| NPI | 1356544308 |
|---|---|
| Doing Business As | INDIANA VEIN AND LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | MARCUS A JIMENEZ COO 260-432-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01043881A) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |