Organization · Type 2 NPI
Northwest Detroit Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Southfield, MI
NPI number
1295047710
Active
Practice location
21000 Northwestern Hwy
Southfield, MI 48075-5306
Fax (248) 557-7786
Mailing address
30100 Telegraph Rd, Ste 200
Bingham Farms, MI 48025-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | B8672P (MI) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1295047710
Northwest Detroit Dialysis Center LLC's National Provider Identifier is 1295047710, issued on Jul 13, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Southfield, MI. The record was last updated on Oct 25, 2012.