Dva Renal Healthcare INC
NPI #1720042559 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1720042559
- Entity Type
- Organization
- Organization Name
- Dva Renal Healthcare INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 17, 2006
- Last Updated
- Sep 12, 2024
Practice Location
- Address
- 4120 W LOOMIS RD
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53221-2052
- Phone
- (414) 761-4920
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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