| NPI | 1649468364 |
|---|---|
| Doing Business As | SOUTHG BEND VEIN CENTER,LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN W OREN Physician 574-232-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IN 01030418A) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-12-20 |