Fms Clyde Park South, LLC
NPI #1245509348 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1245509348
- Entity Type
- Organization
- Organization Name
- Fms Clyde Park South, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 19, 2011
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 5311 CLYDE PARK AVE SW
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49509-9527
- Phone
- (616) 534-7179
Authorized Official
- Name
- BARRY L. BLANTON
- Title
- VICE PRESIDENT
- Phone
- (781) 699-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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