Total Renal Care INC
NPI #1417333725 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1417333725
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Aug 10, 2015
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 705 28TH ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49548-1303
- Phone
- (616) 475-0553
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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