Organization
FRESENIUS MEDICAL CARE SHAWANO, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE SHAWANO
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1509 S LINCOLN ST, SHAWANO, WI 54166-3428
(715) 524-8038
(715) 524-8043
Mailing address
1509 S LINCOLN ST, SHAWANO, WI 54166-3428
(715) 524-8038
(715) 524-8043
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
10/17/2023
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