Organization
DIALYSIS ACCESS SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL I LEVINE MD (OWNER)
(414) 778-7800
Entity
Organization
Contact information
Practice address
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
(262) 784-5390
Mailing address
890 ELM GROVE RD, SUITE 211, ELM GROVE, WI 53122-2528
(262) 784-5390
(262) 784-5472
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
38379
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32303500
—
WI
Enumeration date
01/04/2007
Last updated
08/22/2020
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