| NPI | 1720391527 |
|---|---|
| Doing Business As | PREMIER VEIN CARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH STEVENS President 815-378-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2025-05-05 |