Organization · Type 2 NPI

Bowan Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Grand Rapids, MI

NPI number 1285072447 Active

Practice location

330 E Beltline Ave NE, Ste 210
Grand Rapids, MI 49506-1267

Fax (616) 285-7096

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1285072447

Bowan Dialysis LLC's National Provider Identifier is 1285072447, issued on Jun 10, 2013. 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 23, 2026.