Organization · Type 2 NPI
The Medical College of Wisconsin Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · West Allis, WI
NPI number
1356892376
Active
Practice location
11340 W Theodore Trecker Way
West Allis, WI 53214-1135
Mailing address
8701 W Watertown Plank Rd, Medical Education Building M1552
Milwaukee, WI 53226-3548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 18653-40 (WI) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in West Allis
About NPI 1356892376
The Medical College of Wisconsin Inc's National Provider Identifier is 1356892376, issued on Oct 14, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in West Allis, WI. The record was last updated on Oct 14, 2016.