Organization · Type 2 NPI
Waupun Memorial Hospital
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Beaver Dam, WI
NPI number
1881672004
Active
Practice location
110 Monroe St
Beaver Dam, WI 53916-2437
Fax (920) 887-3532
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 1881672004
Waupun Memorial Hospital's National Provider Identifier is 1881672004, issued on Jan 6, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Beaver Dam, WI. The record was last updated on Apr 20, 2022.