Organization · Type 2 NPI
Waupun Memorial Hospital
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Waupun, WI
NPI number
1760460877
Active
Practice location
10 Beaver Dam St
Waupun, WI 53963-1869
Fax (920) 926-8885
Mailing address
PO Box 1283
Fond Du Lac, WI 54936-1283
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...
About NPI 1760460877
Waupun Memorial Hospital's National Provider Identifier is 1760460877, issued on Jan 9, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Waupun, WI. The record was last updated on Mar 12, 2022.