Bowan Dialysis LLC
NPI #1285072447 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1285072447
- Entity Type
- Organization
- Organization Name
- Bowan Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 10, 2013
- Last Updated
- May 14, 2024
Practice Location
- Address
- 330 E BELTLINE AVE NE
- Address 2
- STE 210
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49506-1267
- Phone
- (616) 285-7081
Authorized Official
- Name
- SAMUEL T WEY
- Title
- SR DIRECTOR 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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