Organization
MILWAUKEE NEPHROLOGY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D HOLZMACHER M.D. (PRESIDENT)
(414) 202-1724
Entity
Organization
Contact information
Practice address
19050 BLUE RIDGE CT, BROOKFIELD, WI 53045-5103
(414) 202-1724
(888) 315-3739
Mailing address
19050 BLUE RIDGE CT, BROOKFIELD, WI 53045-5103
(414) 202-1724
(888) 315-3739
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
42642-020
WI
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34749000
—
WI
Enumeration date
03/18/2010
Last updated
09/30/2010
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