Vein Care Pavilion of the South
Vein Care Pavilion of the South is a Surgery Physician in Germantown, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.
- Licensed in
- WI
- In the registry since
- 2013
Practice location Address checks out
W178N9912 Rivercrest Dr Ste 102Germantown, WI 53022-4645
Phone: (262) 672-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 44670-20 (WI) |
|---|
Record details
| NPI number | 1144569757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lori Davis — Managing Member · (706) 951-1998 |
| NPI enumerated | February 4, 2013 |
| Last updated in NPPES | July 16, 2013 |
| Mailing address | W178n9912 Rivercrest Dr, Suite 102, Germantown, WI 53022-4645 |