Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Vein Restoration Mi PLLC

Organization Surgery Physician · NPI 1720388267

Center for Vein Restoration Mi PLLC is a Surgery Physician in Portage, Michigan. Works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2010
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3810 W Centre Ave Ste A
Portage, MI 49024-4632
Phone: (301) 860-0930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15255 Northline Rd, Southgate, MI 48195-2487 — (855) 830-8346

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence D0053733 (MD)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence D0053733 (MD)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1720388267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorena Thomas — Credentialing Manager · (815) 254-1761
NPI enumeratedNovember 1, 2010
Last updated in NPPESMay 30, 2024
Certification dateMay 29, 2024
Mailing address7474 Greenway Center Dr Ste 1000, Greenbelt, MD 20770-3500

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