Total Renal Care INC

NPI #1063172112 in Rice Lake, Wisconsin

Provider Information

NPI Number
1063172112
Entity Type
Organization
Organization Name
Total Renal Care INC
Subpart
Yes (part of a larger organization)
Parent Organization
DAVITA INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Dec 29, 2021
Last Updated
Aug 15, 2024

Practice Location

Address
1700 W STOUT ST
ZIP Code
54868-5000
Phone
(715) 236-6159

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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