| Organization Name: | WESTERN RESERVE VASCULAR INSTITUTE |
| NPI Number: | 1104082031 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH G PROTAIN (DR.) |
| Mailing Address: | 813 Kentwood Dr Boardman |
| State: | OH US |
| Postal Code: | 445125004 |
| Phone Number: | 3309533515 |
| Fax Number: | 3309530313 |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 06/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 34-008446 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |