Organization
END STAGE RENAL DISEASE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HOWARD HASLITT MD MPH (SECRETARY TREASURER)
(765) 287-0248
Entity
Organization
Contact information
Practice address
2701 W NORTH ST, SUITE C, MUNCIE, IN 47303-3415
(765) 287-0248
(765) 287-0265
Mailing address
2701 W NORTH ST, SUITE C, MUNCIE, IN 47303-3415
(765) 287-0248
(765) 287-0265
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
50002637A
IN
Other
Enumeration date
08/11/2005
Last updated
04/17/2008
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