Smithgall Dialysis LLC

NPI #1114320660 in Chilton, Wisconsin

Provider Information

NPI Number: 1114320660
Entity Type: Organization
Organization Name: Smithgall Dialysis LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Sep 29, 2014
Last Updated: Jul 17, 2025

Practice Location

Address: 425 MB LANE
City: Chilton
State: Wisconsin
ZIP Code: 53014-1604
Phone: (920) 849-3390

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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