Organization · Type 2 NPI
Plover Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Detroit, MI
NPI number
1740789536
Active
Practice location
13945 Wyoming St
Detroit, MI 48238-2333
Fax (313) 931-3084
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027
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...
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About NPI 1740789536
Plover Dialysis LLC's National Provider Identifier is 1740789536, issued on Feb 7, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Detroit, MI. The record was last updated on Jun 17, 2025.