Organization · Type 2 NPI
Northwest Detroit Dialysis Center, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Detroit, MI
NPI number
1083634471
Active
Practice location
7800 W Outer Dr, Suite 190
Detroit, MI 48235-3461
Fax (313) 270-9238
Mailing address
30100 Telegraph Rd, Suite 200
Bingham Farms, MI 48025-4514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1083634471
Northwest Detroit Dialysis Center, LLC's National Provider Identifier is 1083634471, issued on Jul 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Detroit, MI. The record was last updated on Mar 4, 2015.