Total Renal Care INC
NPI #1831469766 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1831469766
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 10, 2012
- Last Updated
- Jun 25, 2024
Practice Location
- Address
- 650 N EDWARDS BLVD
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-4595
- Phone
- (262) 248-2502
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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