Organization · Type 2 NPI

Southeastern Michigan Kidney Center PLLC

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

NPI number 1316967797 Active

Practice location

1695 W 12 Mile Rd, Suite 250
Berkley, MI 48072-2183

Fax (248) 414-5227

Mailing address

30100 Telegraph Rd, Suite 200
Bingham Farms, MI 48025-4516

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 1316967797

Southeastern Michigan Kidney Center PLLC's National Provider Identifier is 1316967797, issued on Jul 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Berkley, MI. The record was last updated on Sep 28, 2011.