Organization · Type 2 NPI

Miller Street Dialysis Center of Wake Forest University

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Winston Salem, NC

NPI number 1407000540 Active

About NPI 1407000540

Miller Street Dialysis Center of Wake Forest University's National Provider Identifier is 1407000540, issued on Nov 14, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 9, 2026.