| NPI | 1407992373 |
|---|---|
| Doing Business As | REBE SKIN AND VEIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | RONALD J KOLEGRAFF Owner And Provider 712-332-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 24582) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: IA 24582) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-04-09 |