Lakeshore Kidney Care, Pllc

NPI #1932788346 in Wayne, Michigan

Provider Information

NPI Number
1932788346
Entity Type
Organization
Organization Name
Lakeshore Kidney Care, Pllc
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Apr 3, 2021
Last Updated
Apr 3, 2021

Practice Location

Address
4811 VENOY RD
City
Wayne
ZIP Code
48184-2675
Phone
(734) 366-1361

Authorized Official

Name
DR. MANSUR KHALID PATHAN, DO
Title
OWNER
Phone
(734) 366-1361

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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