Lake Michigan Nephrology, L.l.c

NPI #1821201500 in Saint Joseph, Michigan

Provider Information

NPI Number: 1821201500
Entity Type: Organization
Organization Name: Lake Michigan Nephrology, L.l.c
Primary Specialty: Specialist
Enumeration Date: May 8, 2007
Last Updated: Oct 5, 2023

Practice Location

Address: 3800 HOLLYWOOD RD STE 104
City: Saint Joseph
State: Michigan
ZIP Code: 49085-8511
Phone: (269) 428-0819

Authorized Official

Name: DR. DANIEL WILLIAM BRASH, MD
Title: OWNER
Phone: (269) 428-0819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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