Commonwealth Dialysis Center, LLC
NPI #1295806776 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1295806776
- Entity Type
- Organization
- Organization Name
- Commonwealth Dialysis Center, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4848 S 76TH ST
- Address 2
- SUITE 100
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53220-4361
- Phone
- (414) 281-6806
Authorized Official
- Name
- MR. HERBERT S LAWSON
- Title
- CFO
- Phone
- (303) 785-7521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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