Organization · Type 2 NPI

Fanthorp Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mankato, MN

NPI number 1538414941 Active

Practice location

1400 Madison Ave Ste 400
Mankato, MN 56001-5476

Call (507) 385-0432 Map

Fax (507) 385-1584

Mailing address

5200 Virginia Way
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...

NPI record

NPI: 1538414941
Entity type: Organization (Type 2)
Issued: Jul 23, 2012
Last updated: Oct 20, 2020
Status: Active

Other names

<unavail>
Dialysis at Mankato Clinic · doing business as
Dialysis at Mankato Clinic · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1538414941

Fanthorp Dialysis LLC's National Provider Identifier is 1538414941, issued on Jul 23, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mankato, MN. The record was last updated on Oct 20, 2020.