Kidney Institute of Wisconsin, LLC

NPI #1831262674 in Glendale, Wisconsin

Provider Information

NPI Number
1831262674
Entity Type
Organization
Organization Name
Kidney Institute of Wisconsin, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Nov 17, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
5650 N GREEN BAY AVE
Address 2
SUITE 150
ZIP Code
53209-4446
Phone
(414) 431-5960

Authorized Official

Name
HERBERT S LAWSON
Title
CFO
Phone
(303) 785-7521

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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