Organization · Type 2 NPI
FMS Clyde Park South, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Grand Rapids, MI
NPI number
1245509348
Active
Practice location
5311 Clyde Park Ave SW
Grand Rapids, MI 49509-9527
Fax (616) 534-7930
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 1245509348
FMS Clyde Park South, LLC's National Provider Identifier is 1245509348, issued on Dec 19, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 20, 2023.