Organization · Type 2 NPI

Montauk Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sun Prairie, WI

NPI number 1457747453 Active

Practice location

719 Bunny Trail
Sun Prairie, WI 53590-0000

Call (608) 825-6556 Map

Fax (608) 825-2886

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

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

Other end-stage renal disease (esrd) treatment clinic/center providers in Sun Prairie

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NPI record

NPI: 1457747453
Entity type: Organization (Type 2)
Issued: Apr 7, 2015
Last updated: Jun 25, 2024
Status: Active

Other names

<unavail>
Sun Prairie Dialysis · doing business as
Sun Prairie Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1457747453

Montauk Dialysis LLC's National Provider Identifier is 1457747453, issued on Apr 7, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sun Prairie, WI. The record was last updated on Jun 25, 2024.