Total Renal Care INC
NPI #1194095166 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1194095166
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 9, 2012
- Last Updated
- Aug 22, 2024
Practice Location
- Address
- 210 WISCONSIN AMERICAN DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-2999
- Phone
- (920) 907-0689
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) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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