West Broomfield Dialysis Llc

NPI 1558518423 - Clinic/Center - 261QE0700X

NPI Details
NPI 1558518423
Enumeration Date 08/22/2008
Last Updated 12/06/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JIM JIM
Position VICE PRESIDENT
Phone (248) 539-1025
Fax (248) 539-2986
Practice Location
6010 W MAPLE RD
STE 215
WEST BLOOMFIELD MI, 48322-4406, US
Phone (248) 539-1025
Fax (248) 539-2986
Business Location
5200 VIRGINIA WAY
STE 400 L&C
BRENTWOOD TN, 37027-7569, US
Phone (615) 341-6480
Fax (866) 381-9878
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, West Broomfield Dialysis Llc NPI is 1558518423, taxonomy code is 261QE0700X West Broomfield Dialysis Llc physically located at 6010 W Maple Rd, West Bloomfield MI, 48322-4406. NPI Number 1033115704 has the healthcare provider type.

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1558518423 NPI number is provided on an as is basis without warranty of any kind. 1558518423 is maintained by the National Plan & Provider Enumeration System. The contents of West Broomfield Dialysis Llc are for informational purposes only.