Shoshone Dialysis, LLC
NPI #1306239140 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1306239140
- Entity Type
- Organization
- Organization Name
- Shoshone Dialysis, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 17, 2015
- Last Updated
- Dec 21, 2023
Practice Location
- Address
- 46360 GRATIOT AVE
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48051-2800
- Phone
- (586) 949-5417
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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