Blake Dialysis LLC

NPI #1497033229 in Cedarburg, Wisconsin

Provider Information

NPI Number
1497033229
Entity Type
Organization
Organization Name
Blake Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 27, 2011
Last Updated
Feb 23, 2024

Practice Location

Address
N54 W6135 MILL ST
Address 2
STE 500
ZIP Code
53012-2067
Phone
(262) 377-2158

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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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