Wisner Dialysis LLC

NPI #1205341120 in Clermont, Florida

Provider Information

NPI Number: 1205341120
Entity Type: Organization
Organization Name: Wisner Dialysis LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Dec 14, 2017
Last Updated: Dec 14, 2017

Practice Location

Address: 1350 N HANCOCK RD
City: Clermont
State: Florida
ZIP Code: 34711-0000
Phone: (615) 320-4286

Authorized Official

Name: JAMES K HILGER
Title: CHIEF ACCOUNTING OFFICER
Phone: (253) 734-5003

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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