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Organization
PITTSBURGH KIDNEY CARE, LLC
Active
Organization
PITTSBURGH KIDNEY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALCZYK MD (OWNER)
(412) 621-3631
Entity
Organization
Contact information
Practice address
1401 FORBES AVE, 350, PITTSBURGH, PA 15219-5125
(412) 621-3631
(412) 687-2394
Mailing address
1401 FORBES AVE, 350, PITTSBURGH, PA 15219-5125
(412) 621-3631
(412) 687-2394
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C1-0001632
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103217936 0001
—
PA
Enumeration date
05/25/2016
Last updated
07/25/2019
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