Isd Renal INC

NPI #1629596267 in Canton, Ohio

Provider Information

NPI Number: 1629596267
Entity Type: Organization
Organization Name: Isd Renal INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Sep 5, 2017
Last Updated: Jan 4, 2024

Practice Location

Address: 2912 W TUSCARAWAS ST
City: Canton
State: Ohio
ZIP Code: 44708-4643
Phone: (330) 458-0150

Authorized Official

Name: SAMUEL T. WEY, AO
Title: VP, LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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