Organization
NEPHROLOGY INC.
Active
Organization
NEPHROLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH A MENTZ CEO (CEO)
(574) 273-6787
Entity
Organization
Contact information
Practice address
250 E DAY RD, SUIT 300, MISHAWAKA, IN 46545-3471
(574) 273-6787
(574) 968-7207
Mailing address
250 EAST DAY ROAD, SUIT 300, MISHAWAKA, IN 46545-3519
(574) 273-6787
(574) 968-7207
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
10/05/2007
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