Organization · Type 2 NPI
East Dearborn Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dearborn, MI
NPI number
1114962925
Active
Practice location
13200 W Warren Ave
Dearborn, MI 48126-1415
Mailing address
5200 Virginia Way, Ste 400 L&c
Brentwood, TN 37027-7569
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...
Another provider at this address
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About NPI 1114962925
East Dearborn Dialysis LLC's National Provider Identifier is 1114962925, issued on Jun 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dearborn, MI. The record was last updated on Aug 14, 2007.