| NPI | 1700999711 |
|---|---|
| Doing Business As | VSACULAR INTERVENTIONS, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM TATTERSALL Sole Member/President 219-877-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-06-25 |