Organization
ELLA E. M. BROWN CHARITABLE CIRCLE
Active
Other names
Oaklawn Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN M. KOPPENHAVER (CHIEF FINANCIAL OFFICER)
(269) 789-3921
Entity
Organization
Contact information
Practice address
310 MICHIGAN AVE, MARSHALL, MI 49068-1665
(269) 789-3921
(269) 781-7117
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 789-3921
(269) 781-7117
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
12/04/2007
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