Organization · Type 2 NPI
Dialyze Direct Wi, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pewaukee, WI
NPI number
1154910081
Active
Practice location
N25W23131 Paul Rd
Pewaukee, WI 53072-5762
Mailing address
3297 State Route 66
Neptune, NJ 07753-2762
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...
About NPI 1154910081
Dialyze Direct Wi, LLC's National Provider Identifier is 1154910081, issued on Jan 14, 2021. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pewaukee, WI. The record was last updated on Nov 8, 2021.