Organization
NEPHROLOGY ASSOCIATES SC
Active
Parent organization
NEPHROLOGY ASSOCIATES OF WAUKESHA, SC
Other names
Nephrology Associates of Waukesha, SC - Fort Atkinson
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEPHROLOGY ASSOCIATES OF WAUKESHA, SC
Authorized official
JENNIFER CHRISTMAN (AUTHORIZED OFFICIAL)
(262) 524-1024
Entity
Organization
Contact information
Practice address
611 SHERMAN AVE E, C/O FORT ATKINSON MEMORIAL HOSPITAL, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
1260 SENTRY DR STE 140, WAUKESHA, WI 53186-5990
(262) 524-1024
(262) 524-8767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32807900
—
WI
Enumeration date
12/26/2007
Last updated
12/22/2020
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