Modesto Kidney Medical Group
NPI #1306848569 in Modesto, California
Provider Information
- NPI Number
- 1306848569
- Entity Type
- Organization
- Organization Name
- Modesto Kidney Medical Group
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Mar 29, 2013
Practice Location
- Address
- 305 E GRANGER AVE
- Address 2
- STE 202
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4344
- Phone
- (209) 526-1606
Authorized Official
- Name
- LORI D MEISCHKE
- Title
- BILLING MANAGER
- Phone
- (541) 706-9073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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