Organization
PREMIER DIALYSIS SERVICE CENTRAL MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DIPZINSKI RN (OWNER)
(810) 223-1938
Entity
Organization
Contact information
Practice address
13044 MONINGTON CT, FENTON, MI 48430-1191
(810) 223-1938
Mailing address
13044 MONINGTON CT, FENTON, MI 48430-1191
(810) 223-1938
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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