Organization · Type 2 NPI
Midwest Legacy Capital LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Black Creek, WI
NPI number
1972008704
Active
Practice location
W4233 State Rd 54
Black Creek, WI 54106-8633
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 1972008704
Midwest Legacy Capital LLC's National Provider Identifier is 1972008704, issued on Mar 26, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Black Creek, WI. The record was last updated on Mar 26, 2018.