Blauvelt Dialysis LLC
NPI #1891204558 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1891204558
- Entity Type
- Organization
- Organization Name
- Blauvelt Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 26, 2017
- Last Updated
- May 28, 2024
Practice Location
- Address
- 6302 DIXIE HWY
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722-9566
- Phone
- (989) 777-0780
Authorized Official
- Name
- SAMUEL 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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