Isd Renal INC

NPI #1730695024 in Whiting, Indiana

Provider Information

NPI Number
1730695024
Entity Type
Organization
Organization Name
Isd Renal INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Dec 21, 2017
Last Updated
May 9, 2024

Practice Location

Address
816 119TH ST
State
Indiana
ZIP Code
46394-1401
Phone
(219) 473-0712

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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