Organization
KNOBBS DIALYSIS LLC
Active
Other names
Siren Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
24670 STATE ROAD 35 70 STE 100, SIREN, WI 54872-4419
(715) 349-4220
(715) 349-4224
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6264
(800) 297-2925
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417354218
—
WI
Enumeration date
11/24/2014
Last updated
08/10/2021
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