Portola Dialysis LLC

NPI #1841597689 in Saginaw, Michigan

Provider Information

NPI Number
1841597689
Entity Type
Organization
Organization Name
Portola Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 14, 2011
Last Updated
Mar 4, 2021

Practice Location

Address
323 N MICHIGAN AVE
ZIP Code
48602-4240
Phone
(989) 791-3624

Authorized Official

Name
JOHN D WINSTEL
Title
CHIEF ACCOUNTING OFFICER
Phone
(253) 733-4501

Specialties & Taxonomy Codes

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

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